<script data-pm-proxy="intercept"></script><?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Dying to K(no)w by Sean Breininger]]></title><description><![CDATA[Creative Writing and Poetry about living with Faith, Fanconi Anemia, and Chronic Cancer.]]></description><link>https://seanbreininger.substack.com</link><image><url>https://substackcdn.com/image/fetch/$s_!stDx!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F19e2e050-81d7-49c0-bd23-05875df745da_608x608.png</url><title>Dying to K(no)w by Sean Breininger</title><link>https://seanbreininger.substack.com</link></image><generator>Substack</generator><lastBuildDate>Wed, 02 Sep 2026 20:10:36 GMT</lastBuildDate><atom:link href="/__u/seanbreininger.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Sean Breininger]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[seanbreininger@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[seanbreininger@substack.com]]></itunes:email><itunes:name><![CDATA[Dying to K(no)w]]></itunes:name></itunes:owner><itunes:author><![CDATA[Dying to K(no)w]]></itunes:author><googleplay:owner><![CDATA[seanbreininger@substack.com]]></googleplay:owner><googleplay:email><![CDATA[seanbreininger@substack.com]]></googleplay:email><googleplay:author><![CDATA[Dying to K(no)w]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Before and After]]></title><description><![CDATA[+September 1, 2026+]]></description><link>https://seanbreininger.substack.com/p/before-and-after</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/before-and-after</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Tue, 01 Sep 2026 18:41:09 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!0agZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F76ecc4f6-d12b-4498-9178-419d48fa8f13_5312x2988.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>&#8220;If you're lost you can look <br>and you will find me<br>Time after time</p><p>If you fall I will catch you, <br>I'll be waiting<br>Time after time&#8221;<br>-Cyndi Lauper<br><br><strong>Precipice</strong>: the brink of <br>a dangerous or critical <br>turning point</p><p><strong>Weathered</strong>: changed, worn, or aged in color, texture, or form because of long exposure to sun, wind, rain, or other elements</p><p>+++++++</p><p>There are moments in time in which <br>you stand on the <strong>precipice</strong> of news <br>that will upend your whole reality.</p><p>That is where I find myself <br>in this moment.</p><p>In a few hours, <br>we meet with my oncologist <br>where we expect to hear <br>what the liver cancer treatment plan <br>will be moving forward.</p><p>I have no idea what the doctor <br>is going to say.</p><p>And so all I can do is pray.</p><p>For good treatment options.<br>For hope that this is not the end.</p><p>But above all, I pray <br>for acceptance <br>of all that is to come.</p><p>"<em>Thy will be done</em>."</p><p>Be it <br>hurt and heartbreak</p><p>Be it<br>hope and healing.</p><p>Be it  <br>years lengthened or shortened.</p><p>But I am tired.<br><br>I am out of strength <br>to push forward no matter <br>the circumstances.</p><p>I have lost my way:<br><em>So I will seek Your way for me.</em><br><br>I have lost myself.<br><em>So I will seek Your life for me.</em></p><p>I sit in silence.</p><p>And I wait for God, for Love, <br>to lead me through the unknown.</p><p>Suddenly I am struck with these words: </p><p>"<em>It is all a gift. One giant gift</em>."</p><p>Yet knowing that in this moment <br>doesn't feel like a gift. </p><p>But I will hold on to the paradox.</p><p>For I know that <br>through Death <br>comes<br>Resurrection.</p><p>So I will carry my heavy, <strong>weathered</strong> cross <br>as long as I must <br>until I am told,</p><p>"<em>It is finished</em>."</p><p>+++++++</p><p>It's time to go to my appointment.</p><p>Will <em>You</em> please meet me there?</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!0agZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F76ecc4f6-d12b-4498-9178-419d48fa8f13_5312x2988.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!0agZ!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, 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y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Lamenting the Liver]]></title><description><![CDATA[+August 23, 2026]]></description><link>https://seanbreininger.substack.com/p/new-news-lamenting-the-liver</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/new-news-lamenting-the-liver</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sun, 23 Aug 2026 13:27:48 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!oUfw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5c416b16-8c6c-4629-a1a8-9ae3033d9442_1114x925.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>"Behold and see, if there be any sorrow, like unto His sorrow."<br>-From Handel's Messiah</p><p>&#8220;Is it nothing to you, all you who pass by? Look around and see. Is any suffering like my suffering which was dealt out to me, with which the Lord has afflicted me&#8230;?<br>-Lamentations 1:12a</p><p><strong>Fortitude</strong>: mental and emotional strength. It helps a person face pain, danger, or hard times with courage and without giving up.</p><p>+++++++</p><p>I should have known.</p><p>As soon as I heard the doctor's optimism, "after we treat these liver tumors, hopefully nothing will come back for years"<br>that was my cue to worry.</p><p>This time it is no different.</p><p>We got the results <br>from the MRI.</p><p>It showed two new lesions <br>that look like the cancers <br>I just had ablated.</p><p>I'm not elated.</p><p>Instead of years <br>until tumors would <br>show up again,<br>I got days.</p><p>12 days in fact.</p><p>And instead of a balm, <br>that optimism now feels like <br>salt on the wound.</p><p>So I'm a little salty.</p><p>And sad.</p><p>Now we spend the weekend <br>in wait<br>as we wonder our fate.</p><p>It doesn't look great.</p><p>And I hate that I have to <br>deliver more unwanted news.</p><p>This body in this moment <br>feels like a prison.</p><p>And I remain locked <br>behind bars<br>without <br>sunlight or sustenance.</p><p>This gorgeous day<br>looks like nothing <br>but grey.</p><p>I am lost<br>and have nothing to say. </p><p>So I'll pray.</p><p>Without words.</p><p>The only sound will be <br>the hurt of my heart.</p><p>Will <em>You</em> stay<br>with me here?</p><p>Will <em>You</em> visit me in my bodily <br>holding cell<br>that's too tired to continue?</p><p>Come wake me up <br>with <em>Your</em> wisdom.</p><p>Help me, yet again,<br>to accept my circumstances.</p><p>Wade with me in these deep waters of <br>wailing and <br>worry and <br>wanting.</p><p>Wanting and longing.</p><p>Longing for the day <br>when I weep no more.</p><p>Truthfully, <br>I'm too tired for tears.</p><p>Exhausted by the fears <br>I continue to carry in this existence.</p><p>Allison and I will meet <br>with my doctor on Monday <br>to discuss <br>what treatment options <br>look like <br>at this point.</p><p>I wonder: will there be treatment options?</p><p>Suddenly, I want more time.</p><p>With Allison.<br>With Maya.<br>With all of you.</p><p>Because, even still, <br>I know <br>this is Love's Story.</p><p>And surely as I <br>think that very thought,<br>a wave of hope <br>washes over me.</p><p>And I see the sun <br>and the Golden Finch.</p><p>I hear laughter <br>from a neighbor.</p><p>I watch our dog playing fetch.</p><p>Allison texts me a picture <br>of a red dragonfly from our backyard.</p><p>More! More!</p><p>Give me more <br>of these moments!</p><p>Because now I remember <br>what it's like to fall in love.</p><p>All over again.</p><p>More!</p><p>I've finally found the <strong>fortitude</strong> <br>to make it to Monday.</p><p>And for now, that is enough.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!oUfw!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5c416b16-8c6c-4629-a1a8-9ae3033d9442_1114x925.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!oUfw!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, 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xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Every Rose Has Its Thorn ]]></title><description><![CDATA[+August 16, 2026+]]></description><link>https://seanbreininger.substack.com/p/every-rose-has-its-thorn</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/every-rose-has-its-thorn</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sun, 16 Aug 2026 23:02:32 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!KRs-!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F61560313-0104-48dd-b3c3-80640f1602c5_2400x2400.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>&#8220;THE WILDERNESS and the dry land <br>shall be glad; <br>the desert shall rejoice <br>and blossom like the rose&#8230;&#8221;<br>                                                -Isaiah 35:1</p><p>&#8230;But before all of that&#8230;</p><p>+++++++ </p><p>The days after <br>my liver cancer ablation<br>left me ragged and rough.</p><p>Walking 10 steps made <br>my whole body shut down <br>and gasp for air, <br>causing a piercing pain <br>&#8212;like a thorn in my side&#8212;<br>following every breath.</p><p>And I could do nothing about it, <br>but find a way to live with it.</p><p>No good options or choices <br>were available to me.</p><p>And pain meds worked <br>only minimally.</p><p>After several days of this, <br>I could only imagine, <br>"I'm going to feel like this forever."</p><p>When the thorn in your own body <br>is causing <br>this type of perpetual pain, <br>there comes no easy relief.</p><p>Because I realized that the thorn <br>was not on the surface <br>to be easily seen and plucked, <br>but was embedded into <br>my insides.</p><p>What do we do when the thorn is <br>impossible to remove?<br>OR<br>How do we behold <br>The Rose <br>without being pricked by <br>The Thorn?<br>OR<br>How do we see only beauty<br>when our whole self is demanding<br>that we be alert for the hurt?<br>AND<br>What do we do when we know <br>the thorns are neverending?</p><p>At this point in my life<br>I have had thousands of thorns <br>thrust through my flesh <br>throughout my body.</p><p>And from my perspective,<br>what has happened over time <br>has turned into a pattern.</p><p>So I muse, <br>"Against all appearances <br>could <br>the thorns attached to the rose <br>reveal <br>a Holy pattern&#8230;Love's pattern?"</p><p>Then I reflect on myself as I ponder, <br>"Could the wounding <br>have come from <br>not only my genetics, <br>but from God&#8217;s Divine Doing?"</p><p>Filtering through my experiences <br>of medical thorns and afflictions <br>I do identify with the idea<br>that they have come from <br>my damaged DNA <br>and God, which is Love.</p><p>All rolled into one little body.</p><p>How could they not be?</p><p>For my DNA has been frail <br>from the start.</p><p>Love is that which has <br>knitted me <br>in my mother's womb.</p><p>And God has thrust me <br>into the Refiner's Fire.</p><p>All have gazed upon and known <br>this broken body.</p><p>Fast forward to today and<br>still weaved within <br>is <br>walking windedness.</p><p>My whole path, <br>medically worn, <br>has born a continuous <br>thorn after thorn. </p><p>Yet, rather than becoming cynical <br>&#8212;by humility and time&#8212;<br>I have found the thorns <br>full of Love<br>even declaring, "You're mine."<br> <br>It is Love&#8212;waiting to be <br>realized and lamented <br>so that it may move <br>from hurt to healing.</p><p>After the sting <br>and the pain,<br>the thorn becomes brittle, <br>and breaks open&#8212;again.</p><p>Inside is found <br>Air, Space and Breath, <br>The Indwelling Spirit, <br>and <br>my wholeness.</p><p>And what once made me <br>recoil<br>has transmuted into <br>reconciliation.<br><br>And I bear the marks&#8212;<br>a new scar, <br>a new story, <br>a new healing.</p><p>I know it takes more than <br>just one thorn <br>to realize this Holy pattern.</p><p>AND </p><p>It is no fault if you <br>do not find this pattern <br>to be true in your circumstances.</p><p>Yet, as for me, <br>this shedding of blood <br>and of tears <br>does come to an end <br>as it casts away fears. </p><p>But before that full healing and that sweet relief?</p><p>Many hard moments and sadness and grief.</p><p>OR</p><p>Before New Life<br>The Cross <br>comes <br>for us all.</p><p>Resurrection <br>will happen,<br>but first, The Fall.</p><p>As we continue on in our life&#8217;s journey <br>may we each discover for ourselves that<em>: <br><strong>Every</strong></em><strong> </strong><em><strong>Rose</strong></em> <em>has its</em> <em><strong>Thorn</strong></em>.<br><br>+++++++</p><p>Thank you for all of your <br>prayers and support <br>throughout <br>this latest cancer surgery. </p><p>Allison and I are so grateful <br>for each and every one of you.</p><p>Through your <br>kindness and caring, <br>I am finally past the <br>worst of the pain <br>and moving steadily into <br>a restorative recovery.</p><p>On August 19, <br>I will have an MRI<br>to see if all tumors <br>were fully ablated<br>AND<br>to come up with <br>a liver surveillance plan <br>for the rest of my life.</p><p>The rose pictured here is <br>inspired by those<br>who help me to recognize <br>the thorny truth<br>within<br>every beautiful thing.</p><div class="image-gallery-embed" data-attrs="{&quot;gallery&quot;:{&quot;images&quot;:[{&quot;type&quot;:&quot;image/jpeg&quot;,&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/61560313-0104-48dd-b3c3-80640f1602c5_2400x2400.jpeg&quot;}],&quot;caption&quot;:&quot;&quot;,&quot;alt&quot;:&quot;&quot;,&quot;staticGalleryImage&quot;:{&quot;type&quot;:&quot;image/jpeg&quot;,&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/61560313-0104-48dd-b3c3-80640f1602c5_2400x2400.jpeg&quot;}},&quot;isEditorNode&quot;:true}"></div>]]></content:encoded></item><item><title><![CDATA[DeLIVER Me]]></title><description><![CDATA[+August 4, 2026+]]></description><link>https://seanbreininger.substack.com/p/deliver-us</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/deliver-us</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Wed, 05 Aug 2026 12:03:45 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!LfgM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff25d6f54-a902-4637-ad13-ae1bdf3932b7_638x565.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>"Well, you have suffered enough<br>And warred with yourself<br>It's time that you won"<br>-Glen Hansard (1970-2026)</p><p>"Wait and hope for and expect the Lord; be brave and of good courage and let your heart be stout and enduring. Yes, wait for and hope for and expect the Lord." <br>-Psalm 27:14</p><p><strong>Deliverance</strong>: rescue, salvation, or liberation from danger, bondage, or a bad situation.</p><p><strong>Obliterate</strong>: to destroy, wipe out, or remove all traces of something completely</p><p><strong>Erode</strong>: to slowly wear away, damage, or destroy something bit by bit</p><p><strong>Futility</strong>: uselessness, pointlessness, <br>or a complete lack of success. <br>It describes actions or efforts that have no effect or cannot achieve a goal</p><p>+++++++</p><p>Time ticks away to this Thursday and my liver cancer ablations.</p><p>Let me start with a clarification.</p><p>When I prayed, <br>"Oh God, deliver me!"</p><p>I think The Spirit heard, <br>"Oh God, DeLIVER me!"</p><p>And so, as I go into this <strong>DeLIVERance</strong>,<br>God willing, <br>three tricky tumors <br>will <br>meet their match.</p><p>God willing, <br>we will ablate <br>and <strong>obliterate</strong><br>these pesky testy cancers.</p><p>I pray this will be<br>an outpatient surgery.</p><p>I pray the pain will be minimal.</p><p>In truth, part of me<br>has already moved on<br>from this surgery<br>as I instead wonder how long<br>it will take before<br>the tumors plot their return.</p><p>With this body that<br>I've been given,<br>I don't have the luxury to think, <br>"This will be the end of cancer."</p><p>With this body that<br>I've been given,<br>there will be no end<br>to the scans and scalpels<br>that constantly <strong>erode</strong><br>the very foundations of<br>my health,<br>my strength, and<br>my ability<br>to bounce back.</p><p>Now, this is where I'm supposed to <br>tell you how horrible life is<br>and then fall <br>on my own sword<br>repeatedly in <strong>futility</strong>.</p><p>But I won't do that.</p><p>Because I can't do that.</p><p>For for all the pain and agony and the suffering in silence<br>and in public,<br>the truth remains: <br>I still feel held. <br>I still feel loved. <br>I still have hope <br>that there is more sweetness <br>to come for you and for me, <br>individually and collectively.</p><p>I don't only believe this.</p><p>I'm constantly experiencing it.</p><p>It just...happens.</p><p>It is Truth.</p><p>Knowing this personally, <br>I say a humble "Yes." <br>to more slicing and surgeries.</p><p>I say a humble "Yes."<br>to more scans and scars.</p><p>I say a humble "Yes." <br>to giving my life over to strangers, <br>trusting they have <br>my best interest at heart.</p><p>This is all I can and must do, <br>if I want to continue<br>in this world with all of you.</p><p>Being in <br>your presence<br>and<br><em>Your Presence<br></em>is still worth it.</p><p>And as I'm led by Love <br>to the next sculpting and shaping <br>of this bewildered body, <br>I also carry with me every time <br>I have made it through <br>the deeps and the dark.<br><br>I carry with me each story of survival.<br><br>Based on my past experiences, <br>making it through this time is my <br>desire, <br>hope, and <br>expectation.</p><p>This time I'm challenging myself <br>to declare victory<br>even when <br>it looks like I might be<br>headed towards <br>a bleak and bitter defeat.</p><p>I will reframe that defeat<br>into<br>something bittersweet.</p><p>I will take take the fears<br>and the tears<br>and ask God to steer<br>this broken body<br>into a safe harbor.</p><p>Into a restful place.</p><p>Into home base.</p><p>And what once felt like a misinterpretation <br>will become my cry and expectation.<br>"Oh God, DeLIVER me,<br>again and again!"</p><p>Let us all wait, hope, and expect <br>Love's deliverance<br>as we each play our parts<br>in this delicate Divine Dance called Life.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[America: The Next 250 Years]]></title><description><![CDATA[+August 1, 2026+]]></description><link>https://seanbreininger.substack.com/p/america-the-next-250-years</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/america-the-next-250-years</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 01 Aug 2026 12:02:08 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!jc57!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>Schism</strong>: a formal split or division <br>within a group, <br>usually caused by disagreements <br>over <br>beliefs or policies</p><p><strong>Agency</strong>: the capacity or power <br>of an individual to act <br>independently, <br>make their own choices, <br>and exert control over their own life<br><br>What will we do with this time, <br>this time? -SB</p><p>+++++</p><p>What I'm about to share <br>may seem like <br>a fool's errand <br>to some.</p><p>But if we can take it to heart <br>and let it challenge and change us, <br>there is an opportunity <br>for true growth and healing <br>for ourselves and others.</p><p>The grand celebrations are over<br>The magical milestone passed <br>So let us remember our history<br>And build upon that which will last</p><p>It's time for a rebirth and <br>to set a new vision <br>for who We, The People, <br>of The United States of America <br>will become <br>over the next 250 years.</p><p>We cannot change <br>what has happened. </p><p>Nor should we forget <br>what has been painful and difficult <br>and has caused fractures and <strong>schisms</strong> <br>between one another.</p><p>But we are all responsible <br>for what today <br>and the days ahead <br>will look like.</p><p>Being responsible for the future <br>requires <br>an honest look at our past <br>to make sure we do not <br>gloss over that past <br>or wish it away, <br>like it never happened.</p><p>We must include it all.</p><p>The terrible and the beautiful.</p><p>My hope and prayer is that <br>we also pause and reflect on <br>the moments that <br>have filled all of us with <br>pride <br>and the moments <br>that have taught us how <br>to serve others, <br>in every single way.</p><p>Let us remember those moments <br>and let them carry us <br>forward <br>into the future.</p><p>Today, let us use our resources and <br>our privileges <br>to empower anyone and everyone <br>who believes that they have <br>no voice, <br>no <strong>agency</strong>, and <br>no control <br>over their own lives.</p><p>Accepting our faults <br>and our flaws, <br>let us learn to <br>laugh together again.</p><p>And let those laughs <br>bring forth new dreams, <br>fresh ideas, and <br>every ounce of compassion <br>we can muster <br>because we will need <br>all these ideas and ideals <br>if we are to make <br>the next 250 years <br>brighter, kinder, <br>and more welcoming <br>to those who have been <br>forgotten <br>or <br>suppressed <br>or <br>oppressed <br>by a few who believe they hold <br>the power <br>over <br>the people.</p><p>Humble us all.</p><p>Give us courage when we fall.</p><p>But, most of all, let us be willing <br>to relearn how to <br>best <br>love ourselves, <br>our neighbors, <br>and those we have yet to meet.</p><p>I'm hopeful we can create <br>an environment of <br>hospitality, generosity and grace<br>and give everyone a safe place <br>to belong and to rest their head.</p><p>My friends, what do we want <br>this country to become?</p><p>America: <br>who are we willing to become<br>and<br>what are we willing to do <br>to not just survive, <br>but to change and to grow <br>in deeper community, understanding, <br>and appreciation of each other <br>for these next 250 years?</p><p>May the God of Love, <br>the God of all people, <br>prepare our hearts and minds <br>to ensure every single person <br>is welcomed and honored <br>simply because <br>they are part of the human family <br>so that we may <br>proudly and truthfully say,<br>"We live in <br>The <em>United </em>States of America.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!jc57!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!jc57!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, 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/__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!jc57!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!jc57!, /__u/seanbreininger.substack.com/w_1272, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!jc57!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F207d123b-775f-4b63-b404-21d5fe532670_1080x1350.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" 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To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[America at 250: The Reflecting Pool ]]></title><description><![CDATA[+July 29, 2026+]]></description><link>https://seanbreininger.substack.com/p/america-at-250-the-reflecting-pool</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/america-at-250-the-reflecting-pool</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Wed, 29 Jul 2026 18:01:35 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!9tP2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe18c05c9-3837-4153-a486-0c0fb018af12_2263x2228.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>America at 250: The Reflecting Pool<br>OR<br>American Flag Blues</strong></p><p><strong>+July 29, 2026+<br></strong><br>+++++++</p><p>Inside my heart is breaking<br>My make-up may be flaking<br>But my smile still stays on -Queen<br><br><strong>Sneak:</strong> means to move, do, <br>or take something secretly <br>to avoid being noticed<br><strong><br>Fa&#231;ade</strong>: the front or outer face <br>of a building, or a <br>false, misleading <br>outward appearance.<br><br>+++++++</p><p>These 2 statements should tell you <br>all you need to know.</p><p>&#8220;Trump had said the repairs would last a century, but within days of the project&#8217;s initial completion last month, the water was beset by an algae bloom and pieces of the new coating appeared to be peeling off the bottom.&#8221; -AP</p><p>&#8220;The new liner appears grayer than when the pool was repainted and refilled with water in early June.&#8221; -AP</p><p>+++++++</p><p>I <strong>sneak</strong> a peek into<br>The Reflecting Pool.<br><br>I see myself.</p><p>Green algae blooms all around<br>reflect the cancer cells <br>that continue <br>to bloom inside of me.</p><p>Peeling, cracked and flaking paint <br>reflects <br>the surgeries, <br>the scars, and <br>the scares <br>that peel away <br>the layers of <br>my flesh, <br>my joy, and <br>my hope.</p><p>Millions and millions of dollars <br>spent on repairing <br>This Pool and This Body <br>only to leave it more diseased, <br>more wrecked, and worse off <br>than before this reconstruction <br>took place.</p><p>And the promise of<br>American Flag Blue<br>has turned out to be<br>Diseased Dull Grey.</p><p>That&#8217;s what I see when I peer<br>into The Reflecting Pool.</p><p>Broken,<br>Battered,<br>Beaten,<br>Bankrupt,</p><p>The Reflecting Pool<br>reflects me.</p><p>And, as we try to mask <br>the obvious disease, decay, and destruction of a country as it barrels through <br>250 years as a &#8220;Free Nation&#8221; <br>while simultaneously <br>pushing and profiting from <br>a parody of political power, <br>we can&#8217;t help but realize:<br>The Reflecting Pool is a reflection <br>of all of<br>us within the U.S.</p><p>But we dare not admit it.</p><p>So we blame<br>we scapegoat,<br>we deflect,<br>we dismiss.</p><p>We lie and give any excuse we can <br>before we take responsibility <br>for our complicity, ownership, and creation <br>of the obvious muck, mess, and chaos <br>of our shared waters and <br>our shared humanity.</p><p>We falsely accuse others<br>for our poor choices.</p><p>We wash our hands <br>in our feeble and futile attempts <br>to wash away and make clean <br>the algae blooming in <br>our hearts and minds.</p><p>At some point,<br>the truth will be revealed<br>and we will be held to account<br>for our role in poisoning The Pool.</p><p>Some say The Pool reflects <br>our selfishness.<br>Some say The Pool reflects <br>our sin.<br>Some say The Pool reflects <br>our futility.</p><p>But let&#8217;s look a little bit closer.<br><br>A little bit deeper.<br><br>Past the <strong>fa&#231;ade</strong> shimmering on the surface<br><br>For I know there is <br>something more to see, <br>if we&#8217;re willing to look through <br>Love&#8217;s lens.</p><p>When we do that, then<br>selfishness reflects community,<br>sin reflects forgiveness,<br>futility reflects industry.</p><p>Then our dread of drowning <br>becomes <br>gentle wading in water.<br><br>When we can clearly see <br>what is wrong and <br>what is hopeful, <br>we have a choice.</p><p>Do we stay stuck in the muck<br>and sulk<br>in sadness and in self?</p><p>Truthfully, sometimes we do.</p><p>But, can we also see<br>how to heal and restore <br>these lifeless waters?</p><p>Can we bring them back to life <br>so they again can reflect <br>the natural beauty of each and <br>every one of us?</p><p>Today, what areas of your lives will <br>The Reflecting Pool <br>reflect <br>back to you?</p><p>May we have the courage <br>to see the reality and <br>current state of our being and <br>strive to do our do diligence <br>so that we may reflect only that <br>which serves Love and our neighbors.</p><p>Now, when I look<br>into The Reflecting Pool,<br>may I see only <em>You</em>.</p><p>+++++++</p><p>This image is taken from<br>our own reflecting pond.<br><br>Look closely to see<br>Phineas and Pheona<br>swiftly swimming around <br>the water lily.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!9tP2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe18c05c9-3837-4153-a486-0c0fb018af12_2263x2228.jpeg" 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y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Alteration by Ablation ]]></title><description><![CDATA[Brings No Permanent Elation]]></description><link>https://seanbreininger.substack.com/p/alteration-by-ablation</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/alteration-by-ablation</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Fri, 24 Jul 2026 23:15:48 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!stDx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F19e2e050-81d7-49c0-bd23-05875df745da_608x608.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>+July 24, 2026+<br><br><strong>+++++++<br><br>Unabated</strong>: continuing at full strength, <br>force, or intensity without <br>slowing, weakening, or stopping.</p><p>So do not worry or be anxious <br>about tomorrow, <br>for tomorrow will have worries <br>and anxieties of its own. <br>Sufficient for each day is <br>its own trouble. -Matthew 6:34<br><br><strong>++++++<br><br></strong>I'm writing to you from <br>the sixth floor of the <br>MHealth Fairview <br>West Bank Hospital.</p><p>Allison drove me to the ER<br>Tuesday morning as I was<br>experiencing a<br>fever, <br>cough,<br>congestion, <br>shortness of breath, <br>lightheadedness, and <br>dizziness.</p><p>So what did my body <br>order up for me? <br>Pneumonia and Parainfluenza 4.</p><p>With a Side of Sepsis.</p><p>I was first put on a bed <br>in the ER's hallway <br>with 20 other unfortunate friends.</p><p>To me, we looked like <br>a pile of actors <br>playing victims<br>who were in a horrible accident <br>on The Pitt.</p><p>And no, Noah Wyle was not present.</p><p>Immediately they started me <br>on antibiotics and <br>10 hours later, <br>I was driven by ambulance <br>to my hospital room.</p><p>And here I sit in bed <br>with more antibiotics <br>running from my IV into my veins <br>as a gentle, kind nurse bends down<br>to drain the urine from my urostomy bag.</p><p>(I'm still processing that <br>humbling moment.)</p><p>And, I wonder?</p><p>How did I get here?</p><p>Was it from my <br>very infrequent outing <br>to see a show last Saturday?</p><p>And while I ponder, I realize that <br>I haven't even updated you on <br>my liver cancer plan.</p><p>But it takes some effort <br>to type out these words <br>when you're not feeling well.</p><p>Well, anyway...</p><p>Fortunately, before I went <br>to the ER, <br>we were able to keep <br>our appointment <br>with the liver surgeon. </p><p>His final recommendation <br>was to use ablation <br>to dissolve the tumors <br>along with surrounding areas <br>in order <br>to get clean margins.</p><p>This type of ablation uses microwaves<br>&#8212;yes, just like a microwave oven&#8212;<br>that will turn the tumors <br>into scar tissue. </p><p>The surgeon held up his hands <br>to show how big the ablation <br>for the largest tumor will be <br>and it looked like <br>the size of a lemon.</p><p>He said it will be painful <br>on the surface of my liver, <br>where the nerves are, </p><p>making it feel like <br>your insides are burning.</p><p>Gulp...Shutter...Repeat.</p><p>The procedure itself is <br>pretty straightforward <br>and is a good treatment option <br>for this type cancer.</p><p>However, <br>the best option, <br>the curative one, <br>would be a liver transplant.</p><p>But, due to the many cancers <br>I have survived, <br>I would not be a candidate.</p><p>I debated for a second <br>if I should say, <br>"It's precisely *because* <br>I've survived so many cancers <br>that I would be a good candidate <br>for a transplant."</p><p>Alas, I just nodded yes <br>to the ablation option<br>and thanked him for <br>his expertise and thoughtfulness <br>in realistically telling me <br>what can be done.</p><p>So, since I cannot have <br>a curative transplant, <br>I'll obviously retain <br>my same old liver, <br>which my surgeon <br>is quite certain <br>will continue to <br>grow more cancers.</p><p>And the hardest part <br>was when he said, <br>"And more tumors <br>will return within<br>2 months? <br>2 years? <br>We'll only know <br>when, when <br>they reappear."</p><p>Only know when, when...? </p><p>And so, again, I'll have <br>another body part <br>microscopically scanned and <br>analyzed from all angles.</p><p>And so, again, I'll have <br>another body part <br>which requires us <br>to hold our breath <br>at each and every <br>future appointment.</p><p>And my heart is hit with <br>another round of grief.</p><p>Another agony <br>which burns deeply, <br>as if having an ablation <br>on my very soul.</p><p>I will sit in stillness as the burns<br>transmute into scars on my liver <br>and my whole being.</p><p>And now I wait for the <br>burning to begin.</p><p>And I will pray earnestly <br>to be burned awake<br>into the present situation <br>and the moment I am in.</p><p>Because it is by being <br>truly present that<br>I can now see, <br>by the Grace of God, <br>that going to Mayo, Clinic <br>even with all of the calamities <br>that ensued, also ensured <br>I would get another PET/CT <br>which would reveal the tumors <br>in my liver.</p><p>Without that trip, <br>I would not have had a PET/CT <br>anytime soon and <br>those tumors would still be growing, <br>unnoticed and <strong>unabated</strong>.</p><p>That fact humbles me deeply <br>and brings me to bear witness <br>to the shear awe and possibility <br>that every moment <br>can be full of significance.</p><p>And it is from a million of these <br>little tender mercies and mysteries <br>over my whole life, <br>and especially the past 15 years, <br>that I have continued to grow </p><p>in Grief <br>and <br>in Grace </p><p>in Despair <br>and <br>in Dreams</p><p>in Sadness <br>and <br>in Simplicity. </p><p>All from small <br>morsels <br>made into moments<br>that seem insignificant <br>to everyone else.</p><p>But that are absolutely life saving <br>to me.</p><p>So today, I will savor <br>every scar, <br>every affliction and <br>every miracle<br>that I'm currently wrestling with.</p><p>For I know tomorrow's <br>wonders, </p><p>worries, and<br>words can <br>wait <br>'til tomorrow comes.</p><p>+++++++</p><p>This picture comes courtesy of <br>our Mayo Clinic trip <br>guardian angel,<br>who shared their <br>Lifesavers<br>with us<br>as we were about to meet the<br>lifesavers <br>who first found the liver tumors <br>that would lead us to this <br>present path.</p><p>Know that every one <br>of your prayers, comments, <br>and encouraging words <br>are also little lifesavers <br>I receive with gratitude each day.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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y2="14"></line></svg></button></div></div></div></a></figure></div><p>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[The Next Diagnosis ]]></title><description><![CDATA[+July 17, 2026+]]></description><link>https://seanbreininger.substack.com/p/the-next-diagnosis</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/the-next-diagnosis</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 18 Jul 2026 12:03:14 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!stDx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F19e2e050-81d7-49c0-bd23-05875df745da_608x608.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>"Tak&#1077; this sinking boat and point it home<br>We've still got tim&#1077;</p><p>Raise your hopeful voice, <br>you have a choice<br>You'll make it <br>now"<br><br>-Glen Hansard and <br>Mark&#233;ta Irglov&#225;</p><p>+++++++</p><p><strong>Engulfed</strong>: to be completely surrounded, covered, or overwhelmed by something</p><p><strong>Capsized</strong>: a boat that's overturned, flipped onto its side or is completely upside down in the water. It typically happens accidentally due to strong waves, heavy winds, sudden weight shifts, or sharp, high-speed turns</p><p><strong>Take Solace</strong>: to find comfort, peace, or relief in a time of distress, sadness, or misfortune</p><p>+++++++</p><p>Well, the biopsy results are in.</p><p>And here's the diagnosis:<br>Moderately differentiated<br>hepatocellular carcinoma,<br>macrotrabecular massive subtype<br>OR<br>HCC-MTM for short.</p><p>In a surprise <br>to all of the doctors, and us, <br>it is not a metastatic cancer <br>but rather cancer that has<br>originated in the liver.</p><p>We have an appointment <br>with a liver specialist on Monday <br>to go over what this means and <br>hopefully we'll learn <br>what treatment options <br>are available.</p><p>And, since we're human beings, <br>Allison and I <br>made our way to the Internet <br>to see what information <br>we could glean in the<br>meantime.</p><p>Here's what we learned...<br>...actually, scratch that.</p><p>I'm not going to tell you <br>what we learned <br>because, bottom line, <br>it will be whatever the doctor <br>tells us it will be.</p><p>And, I don't want to <br>bring you down <br>the same rabbit hole <br>that we went down, <br>when there are <br>no clear answers yet. </p><p>But know this:</p><p>We went there.<br>We went everywhere.</p><p>Why?</p><p>Because the mind <br>craves certainty.</p><p>It wants the answer <br>so it can strategize <br>what comes next.</p><p>We want to be informed <br>as much as we can <br>so we have a moment <br>to absorb the shock <br>of the diagnosis <br>and then <br>prepare our questions <br>for the doctor.</p><p>So, <br>we look and <br>we ponder and <br>we process.</p><p>But, in truth, <br>we have no idea <br>what the doctor will say <br>about what this diagnosis means.</p><p>We're sailing rudderless <br>through choppy waters.</p><p>We don't know if<br>we're headed off into <br>another terrible storm&#8230;<br>&#8230;maybe&#8230;probably? </p><p>And we don't know <br>how close <br>this bodily boat is <br>to being <strong>engulfed</strong> <br>by a rogue wave <br>and <strong>capsized</strong>. </p><p>So we wait once <br>more for <br>The Captain to chart <br>our next course.</p><p>While we wade and wait<br>in these rough waters<br>for Monday to come,<br>will you wade and wait <br>with us?</p><p>Will you help us stay afloat <br>in these moments <br>in between?</p><p>Constantly living <br>with hard things <br>seems to be <br>the default mode <br>of our lives.</p><p>And I want you to know that <br>there are many others <br>who also <br>live with this reality <br>day in and day out.</p><p>And, at the end of the day, <br>I hope and I pray <br>that all of us are seen <br>in these <br>desperate, <br>drowning <br>dilemmas <br>and that a lifeguard <br>will be close by <br>to drag us from the deeps <br>if/when our boat begins to sink.</p><p>+++++++</p><p>This is a picture of us <br>with our dear friend, Judy.</p><p>Judy drove all the way from Houston, TX to visit friends and family <br>and made a special trip <br>just to be with us.</p><p>When I am low and heavy <br>with despair, <br>it is the people in my community, <br>like Judy, like you, <br>that reveal that there is <br>still goodness and hope in this world.</p><p>It reminds me that <br>Love's story is <em>never</em> over.</p><p>And as I wait for Monday,<br>I will try to <strong>take solace</strong> in that.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!I52H!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!I52H!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!I52H!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!I52H!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg" width="2047" height="1541" 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!I52H!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!I52H!, /__u/seanbreininger.substack.com/w_1272, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F524c0d09-7eb4-480a-b807-db6cceb8624d_2047x1541.jpeg 1272w, 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4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[The Gift]]></title><description><![CDATA[+July 11, 2026+]]></description><link>https://seanbreininger.substack.com/p/the-gift</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/the-gift</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 11 Jul 2026 17:06:30 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!XnVW!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Be still, my soul, and steadfast.<br>Earth and heaven both are still watching<br>though time is draining from the clock<br>and your walk, that was confident and quick,<br>has become slow.</p><p>So, be slow if you must, but let<br>the heart still play its true part.<br>love still as once you loved, deeply<br>and without patience. Let God and the world<br>know you are grateful.<br>That the gift has been given.<br>-Mary Oliver, The Gift</p><p>+++++++</p><p><strong>Jubilation</strong>: feeling or expression of great joy, triumph, or celebration. </p><p><strong>Despondency</strong>: a profound emotional state of utter hopelessness, dejection, and discouragement</p><p><strong>Palliative</strong>: a treatment, medicine, or action that reduces pain, stress, or the severity of a disease without curing the underlying cause</p><p><strong>Vigilant</strong>: the state of being keenly alert, watchful, and carefully attentive to spot potential danger, trouble, or problems</p><p><strong>Delusional</strong>: holding a firmly fixed, false belief that persists despite clear, objective evidence to the contrary. </p><p>+++++++</p><p>On my 40th birthday, <br>my dear friend, Mackenzie, <br>threw me a huge celebration.</p><p>Thanks to her, I was able <br>to connect with <br>so many of my friends and family.</p><p>The gratitude I have for everyone <br>who showed up that day<br>with their love and support <br>is boundless.</p><p>During the celebration, <br>I had the chance to speak <br>to all who were in the room.</p><p>I cannot remember <br>exactly everything I said, <br>but I remember one word <br>that encapsulated all I felt <br>in that moment for the <br>7 years and 5 months since <br>my diagnosis of Fanconi Anemia.</p><p>But first, a side note/track:</p><p>7 years and 5 months?<br>"Sean, why do you  <br>measure your age <br>so specifically?"</p><p>"Thanks for asking. <br>When you live with <br>an incurable disease <br>like Fanconi Anemia, <br>sometimes months may be <br>all you have to offer."</p><p>Side note/track over.</p><p>The word was *Gift*.<br>It was a *Gift* to have lived <br>that 7 years and 5 months since my diagnosis of Fanconi Anemia.</p><p>It was a *Gift* that <br>the medical advances <br>had come so far so that <br>I was able to <br>extend my life significantly.</p><p>It was a *Gift* to have grown <br>in patience, humility, and love.</p><p>And it was a *Gift* that I had <br>so many friends and family <br>who continued to support me <br>throughout those <br>7 years and 5 months.</p><p>My dear friend, Amy,<br>would have called them <br>"bonus years." </p><p>And after those 7.5 years <br>I have been given another 7.<br><br>And that is all pure and generous *Gift*.<br><br>But, know this:<br>A *Gift* doesn't only mean <br>something good.</p><p>A *Gift* can be so much more.</p><p>Like when you're so excited <br>to get a *Gift* <br>because you think you know <br>what it is <br>and then when you <br>finally unwrap it <br>you realize it is <br>not <br>the *Gift* you had been <br>expecting and counting on.</p><p>Like when the doctor says, <br>"Good news! <br>You don't have to have radiation" <br>and in the very same breath says, <br>"but you might have <br>metastatic liver cancer."</p><p>Even in the same breath <br>you can go from <br><strong>jubilation</strong> to <strong>despondency</strong>.</p><p>But that 40th Birthday Celebration?</p><p>That was all a life-giving *Gift*.</p><p>Because that day of my 40th, <br>I got <br>to laugh and <br>to cry and <br>to grow <br>in love and <br>gratitude and <br>hope.</p><p>It was in that moment <br>when the sheer weight of the word *Gift* <br>became so heavily saturated <br>with meaning for my life</p><p>Unexpected *Gifts* can also be <br>hard to unbearable.</p><p>Like cancer.</p><p>It is so hard, <br>it is all consuming, and yet, <br>it has opened my eyes <br>and my heart <br>to the suffering of <br>others in addition to myself.</p><p>I hesitate sharing that with you <br>because <br>I don't wish cancer on anyone<br>nor do I believe that everyone <br>always finds meaning <br>in having this dreadful disease.</p><p>But I also want you to know, <br>from my personal experience, <br>there <em>can be</em> <br>a grace and <br>a gentleness and <br>a peace like no other <br>that can also come, <br>most unexpectedly, <br>wrapped up in the *Gift*.</p><p>To me a *Gift* is all inclusive.</p><p>Last week, <br>there came a hard *Gift*.</p><p>It wasn't the life-giving *Gift* <br>we all have been <br>hoping and praying for.</p><p>My MRI scan revealed that <br>there are at least <br>3 spots on my liver <br>that look like cancer <br>that has metastasized <br>from somewhere else<br>in my body.</p><p>The doctors met on Friday <br>to discuss my case.</p><p>Since it is rare for cancer <br>to metastisize<br>from the oral cavity to the liver, <br>they are now wondering <br>if it has metastasized <br>from somewhere else.</p><p>The new possibilities they are pondering <br>are from my bladder cancer <br>or a skin cancer.</p><p>We're waiting for a biopsy <br>on Monday <br>to have a 100% confirmation<br>of what it is, where it originated, <br>and how aggressive it might be.<br><br>These are necessary steps to determine <br>if there is a treatment for me.</p><p>Most likely, it is not curable.</p><p>When I spoke with <br>our nurse coordinator, <br>she said that<br>treatment would be <strong>palliative</strong>.</p><p>But, wherever it came from, <br>here we are.</p><p>And the *Gift* keeps on giving.</p><p>Allison and I are <br>still shocked and<br>still saddened <br>by this news.</p><p>And I am feeling an awful awe<br>because, <br>even though we have been <br>as <strong>vigilant</strong> as we possibly could <br>in screening for cancer, <br>we couldn't get ahead of <br>this outcome.</p><p>By now you're probably thinking,<br>"What kind of <strong>delusional</strong> *Gift* is that?"</p><p>It's the kind that <br>breaks everything open.</p><p>The kind that <br>feels more and knows more.</p><p>For the true *Gift* is found <br>when Love unwraps your full self.</p><p>And now, my dear friends, <br>I am completely unwrapped.</p><p>I've been torn open like <br>a little child <br>ripping through wrapping paper <br>on their birthday.</p><p>And now I am able to reveal <br>my full self with you.</p><p>In the days ahead, <br>as we learn more about <br>what this means moving forward, <br>I will try to keep you updated <br>as best I can.</p><p>This December, <br>it will be 15 years since <br>my Bone Marrow Transplant.</p><p>I hope I am able to <br>celebrate and unwrap <br>the *Gift* buried within <br>that miraculous milestone.</p><p>But for now, <br>my thoughts and my heart<br>are with Allison and Maya, <br>and you <br>and *You*.</p><p>Your continued prayers, <br>kind and healing thoughts, <br>and unconditional love <br>are the best *Gifts* that<br>you can offer us, anytime.</p><p>And, also, know that <br>you can offer those *Gifts* <br>to everyone else, too.</p><p>Because <br>a *True Gift* <br>is <br>a *Free Gift*.</p><p>And now *The Gift* <br>of Love's plan for my life <br>Has. Set. Me. Free.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!XnVW!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!XnVW!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!XnVW!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!XnVW!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg" width="553" height="323" 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!XnVW!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3644bff9-cd0e-4723-994c-b7cc90d96167_553x323.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[MRI Results]]></title><description><![CDATA[+July 7, 2026+]]></description><link>https://seanbreininger.substack.com/p/mri-results</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/mri-results</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Tue, 07 Jul 2026 16:48:13 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Surm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5bda71b-9ecb-4fc6-9c30-afa00d0f4a77_1536x2048.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>My dear friends,</p><p>We have received the results <br>from the MRI and <br>Allison and I would like to <br>share them with you.</p><p>The MRI showed <br>three spots on my liver.</p><p>With a biopsy still pending <br>for absolute confirmation, </p><p>it is almost certain <br>that they are all cancer.<br><br>It is almost certain <br>that they have metastasized <br>from my recent oral cancer <br>to my liver.</p><p>Meaning the cancer has <br>most likely traveled <br>through the lymph nodes <br>throughout my body.</p><p>If this is true, <br>the cancer is not curable.</p><p>And because I have <br>Fanconi Anemia, <br>typical treatment options <br>are limited.</p><p>Allison and I are <br>carrying the weight of this news, <br>while also trying to learn <br>what our options might be.</p><p>In the meantime, we continue <br>to be grateful for your prayers <br>healing thoughts <br>as we sit and contemplate <br>all of the heavy and <br>life-changing scenarios.</p><p>We will continue to <br>share updates <br>as more information <br>becomes available.</p><p>Thank you all <br>for the tender, caring <br>love and support <br>you continue to offer us <br>every day.</p><p>We love you all.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!Surm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5bda71b-9ecb-4fc6-9c30-afa00d0f4a77_1536x2048.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!Surm!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5bda71b-9ecb-4fc6-9c30-afa00d0f4a77_1536x2048.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!Surm!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, 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/__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5bda71b-9ecb-4fc6-9c30-afa00d0f4a77_1536x2048.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!Surm!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5bda71b-9ecb-4fc6-9c30-afa00d0f4a77_1536x2048.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!Surm!, /__u/seanbreininger.substack.com/w_1272, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, 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y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Concerning: The Mayo Clinic OR What's Behind Door #3]]></title><description><![CDATA[+July 3, 2026+]]></description><link>https://seanbreininger.substack.com/p/concerning-the-mayo-clinic-or-whats</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/concerning-the-mayo-clinic-or-whats</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 04 Jul 2026 02:28:17 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!qvYS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>+++++++</p><p><strong>Concerning</strong>: "about," "regarding," or "on the subject of" <br>AND<br><strong>Concerning</strong>: "worrying," "alarming," or "causing anxiety"</p><p><strong>Independence</strong>: the quality or state of being free from the control, support, or influence of others</p><p><strong>In dependence</strong>: in the state of needing someone or something for support or survival</p><p>+++++++</p><p>My dear friends,</p><p>We are back home from <br>our whirlwind, darkly-comedic trip <br>to *The* Mayo Clinic.</p><p>Our two days there <br>felt more like two weeks. </p><p>From our car trouble <br>on the drive down <br>to navigating a wheelchair<br>down the streets of <br>downtown Rochester <br>as lightning flashed overhead <br>to flying down the corridors <br>of the Mayo Clinic<br>to the actual appointments themselves, <br>our trip was full. </p><p>And our minds, swirling.</p><p>I know that many of you <br>have been patiently waiting <br>for updates and I thank you <br>for allowing me time<br>to collect my thoughts.</p><p>And, I imagine, that you're <br>waiting to hear either <br>a "Yes" or "No" <br>about proceeding with<br>proton radiation therapy.</p><p>Allison and I <br>certainly expected to hear <br>what our next chapter would be.</p><p>So which is it?</p><p>"Yes" or "No"?</p><p>Can I offer you a third option?</p><p>There is much to be said, <br>but the bottom line is this: <br>we are *not* going to do <br>proton radiation <br>or any other radiation <br>at this point in time.</p><p>We had deep conversations<br>with the Mayo Clinic team <br>and they were<br>very straightforward with us.</p><p>They recommended that <br>I hold off on playing <br>the radiation card *now* <br>because the surgery <br>did get clean margins, <br>including <br>the perinural invasion, <br>and going through <br>proton radiation <br>at this point, <br>for cancer cells that <br>may or may not be <br>traveling through my nerves, <br>is not the best moment <br>to use my last chance at <br>receiving any type of radiation <br>to my head and neck.</p><p>So we decided that even though <br>there is high risk<br>cancer cells might still be there,<br>we will take that risk <br>and continue to be <br>as vigilant as we can <br>and save radiation for<br>when it is absolutely necessary.</p><p>Going into this we were torn<br>but thought radiation <br>was what we needed to do. </p><p>And according to <br>the standard of care </p><p>for my Stage IV Jaw Cancer, <br>radiation *was* <br>the next right thing.</p><p>But, I'm not standard.</p><p>My body is not like <br>everyone else's body</p><p>And I am reminded again <br>&#8212;for better or worse&#8212;<br>how much of this life <br>is not in my control.</p><p>Honestly, <br>it was very hard to settle on "No", <br>but also, frankly, <br>we are both very relieved <br>to not be going through <br>radiation right now.</p><p>So this is where we all collectively <br>breath a sigh of relief <br>and thank God <br>that Sean doesn't <br>have to have...wait...what...???</p><p>But of course there was <br>an unexpected twist.</p><p>How could there not be?</p><p>I had a PET scan <br>while I was there and <br>the results showed <br>a spot on my liver <br>that looks <br><strong>concerning</strong> for cancer.</p><p>The spot was not there <br>on my scan <br>from a few months ago<br>and, given my history, <br>doctors think it is highly likely <br>that it is cancer, <br>but stressed that it could also <br>be something benign.</p><p>I want to stress that this <br>is *not* confirmed cancer <br>at this point.</p><p>But if it is cancer, <br>they said it might be <br>a new, primary cancer <br>OR <br>metastatic cancer <br>from the oral cancer <br>that was just removed.</p><p>If it is the latter, <br>having radiation to my jaw <br>wouldn't have mattered anyway.</p><p>If it is the latter, <br>we will be having <br>an entirely different conversation.</p><p>We immediately scheduled <br>an MRI at <br>the University of Minnesota <br>which will happen Monday morning. </p><p>We also will need <br>a biopsy for confirmation.</p><p>This was not <br>anywhere <br>on our radar. </p><p>So we will sit with <br>more uncertainty <br>for the next few days.</p><p>Friends, I know this is a lot <br>to process and makes <br>an already complex situation <br>even more so, but I wanted to <br>make sure that you're up to speed<br>on the latest health information.</p><p>Allison and I are waffling <br>back and forth <br>between worry and denial.</p><p>But knowing that "something* <br>is in my liver that shouldn't be, <br>reopens the wounds <br>I try so hard to close.</p><p>And maybe, <br>that's part of the problem.</p><p>Maybe *these wounds* <br>were not meant to be closed.</p><p>Maybe *these wounds* are there <br>to bear witness to<br>the struggle of one human <br>trying to survive another day <br>and find meaning <br>in the mess of it all. </p><p>Maybe it's something <br>I have not yet considered.</p><p>And as we all reflect upon <br>(or take for granted) <br>our fragile, fracturing freedoms<br>this <strong>Independence</strong> Day,<br>I am reminded I am utterly <br><strong>in dependence</strong> <br>on so much more.</p><p>On you.<br>And on You.</p><p>But know this: <br>I am *still* hopeful.</p><p>I *still believe* that <br>there are more good moments to come.</p><p>I *still believe* that <br>our collective story *is still* being written.</p><p>And, at the end of the day, <br>I *still believe* that <br><em><strong>Love will always prevail</strong>.</em></p><p>But maybe <br>not in the way that I<br>imagined<br>or <br>hoped<br>or <br>prayed for.</p><p>And again, <br>I'm back to knowing nothing. </p><p>I cannot thank you enough <br>for the overwhelming outpouring <br>of care, concern, and prayers <br>that you all have been so kind <br>to share with us and for us.</p><p>Your compassion and open hearts <br>are the best gifts <br>we could ever receive.</p><p>There are more tales <br>from our trip to share, <br>but that will have to wait <br>for another time.</p><p>As we pivot, once again, <br>and prepare for what's to come, <br>we will absolutely <br>take you along with us.</p><p>Thank you dear ones. </p><p>May we all see <br>the beauty that is buried <br>in every single thing<br>&#8212;even and especially&#8212;<br>in the hard and impossible things.</p><p>And may True Love's<br><em>deep peace</em> <br>surround and fill us all.</p><p>+++++++</p><p>Final thought for the 4th of July</p><p>Those who remember me <br>in my youth know <br>that I was sort of <br>a fireworks conosuir.</p><p>And not the <br>family-friendly Minnesota versions.</p><p>We're talkin' rockets, <br>and launching tubes, <br>and mortar shells.</p><p>But time, health, and a dog <br>opened my eyes <br>that those glory days <br>are behind me.</p><p>So I share this photo <br>of Allison's garden.</p><p>Thank you, Allison,<br>for teaching me that flowers can also be just as powerful.<br>just as beautiful and <br>just as patriotic.</p><p>And a lot safer, too</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!qvYS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!qvYS!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, 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/__u/substackcdn.com/image/fetch/$s_!qvYS!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!qvYS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg" width="1456" height="2689" 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/__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!qvYS!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!qvYS!, /__u/seanbreininger.substack.com/w_1272, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!qvYS!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5cdea717-72f1-4d12-a800-8a5af6b21195_1570x2900.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>.</p>]]></content:encoded></item><item><title><![CDATA[4 Week Assessment ]]></title><description><![CDATA[+June 27, 2016+]]></description><link>https://seanbreininger.substack.com/p/4-week-assessment</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/4-week-assessment</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 27 Jun 2026 17:30:47 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!xGnm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70482a9a-cc39-49bd-8af6-72d89066b070_2830x2538.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><strong>4 Week Assessment:<br>"I'll have the yogurt<br>with a side of Mayo."</strong></p><p><strong>+++++++</strong></p><p>May Christ through your faith [actually] dwell (settle down, abide, make His permanent home) in your hearts! May you be <em><strong>rooted</strong></em> deep in love and founded securely on love, -Ephesians 3:17</p><p><strong>Diction</strong>: the choice and use of words in speech or writing. It also encompasses the physical articulation and enunciation of those words, determining how clearly a person speaks</p><p><strong>Self conscious</strong>: an uncomfortable heightened awareness of yourself and a preoccupation with how others perceive your appearance, actions, or personality. It often involves worrying about judgment or embarrassment, making it difficult to relax in social situations.</p><p><strong>Gnarly</strong>: a versatile slang term that can mean awesome, extremely difficult, or physically twisted</p><p>+++++++</p><p>Here's an exhaustive update <br>on my jaw cancer <br>surgery and recovery<br>and what comes next.</p><p>+++++++</p><p><strong>The Broad View</strong></p><p>With the ongoing, 24/7 <br>care, kindness, love, and support <br>from Allison, <br>I am making good progress.</p><p>I've traded out my walker <br>for a cane.</p><p>I've noticed an overall <br>reduction in pain.</p><p>My mouth and face feel<br>less swollen and insane.</p><p>And, fortunately, <br>I still remember my name&#8212;</p><p>Sean&#8212;it stayed the same.</p><p>Ok, I'm sorry,<br>that was really lame.</p><p>(Alright, alright, that's enough : )</p><p>Of course there is still <br>soreness and stiffness, <br>including in my shoulder <br>due to the removal of <br>the lymph nodes in my neck, <br>but I continue to improve <br>bit by bit.</p><p>I'm starting to take <br>more of my meds by mouth <br>and swallowing <br>in isolation <br>is about the same.</p><p>+++++++</p><p><strong>Eating</strong></p><p>Eating...is an experience.</p><p>While I still rely on the g-tube <br>for most of my calories, <br>I am beginning <br>to experiment with eating.</p><p>It's been more challenging <br>than I thought it would be.</p><p>I've graduated to <br>mashed potatoes and yogurt&#8212;delicious!</p><p>Thursday night I tried <br>macaroni and cheese. </p><p>On the first bite, I quickly realized <br>this was going to be tricky.</p><p>Because of the surgery,<br>the alignment of my teeth <br>is completely altered.</p><p>Now, when I bite, <br>only 3 front teeth touch together.</p><p>That, combined with <br>the loss of most of my molars, <br>and the fact that the molars <br>I do have <br>no longer touch together, <br>I am now fully reliant <br>on these 3 front teeth.</p><p>I would say I can nibble <br>more than saying I can chew.</p><p>Picture a little rodent <br>eating a piece of cheese&#8212;eeeek!!</p><p>+++++++</p><p><strong>Voice</strong> </p><p>I am struggling to find my voice.</p><p>This is both a clich&#233; and a reality.</p><p>Because of <br>the new tissue in my mouth, <br>my tongue is not able to maneuver<br>like it did before.</p><p>This makes my words <br>sound flat and dull<br>and prevent me from producing <br>crisp, clear <strong>diction</strong>.</p><p>In my head it sounds muffled.</p><p>Allison quipped in the car today,<br>"I wonder if people will think <br>you've had a stroke."</p><p>That hit me hard. </p><p>And I bet she is right.</p><p>It's challenging and frustrating <br>to know the sound and quality <br>of my voice <br>is not the same.</p><p>While people have said <br>they can understand me, <br>it still is awkward work <br>and I do have to repeat myself.</p><p>I continue to do exercises <br>to strengthen my lips and tongue, <br>which are partially paralyzed and numb.</p><p>Doctors say it might take <br>6 months <br>to hear improvement <br>but, right now, losing the ability <br>to speak clearly <br>and <br>remembering the need <br>to deliberately slow down when I speak <br>saddens me.<br><br>When you&#8217;re suddenly stripped <br>of something that is so basic and <br>fundamental to your everyday life,<br>the difference is deafening.</p><p>You cannot help but become <strong>self conscious</strong>.<br><br>You realize that because of the way <br>you now speak, <br>people who know you and, especially, <br>those who do not know you, <br>are going to project on to you <br>what is considered &#8220;not normal&#8221;.</p><p>And what was once a subconscious ability <br>has become a covetous privilege.</p><p>I think of the joy of my singing/choir days, <br>and my first thought is that <br>in this moment <br>I would probably never make it <br>through an audition today. </p><p>This also saddens me.<br><br>And I feel another piece of me <br>has been washed away.</p><p>Please, take a moment to recognize <br>how wonderful it is <br>to speak and to be understood.</p><p>And remember, <br>every word you speak <br>is precious and a gift. </p><p>Choose your words wisely.</p><p>+++++++</p><p><strong>Leg</strong></p><p>My left leg is continuing to heal <br>though some spots <br>still look pretty <strong>gnarly</strong>.</p><p>It is sore and stiff <br>and my breathing is labored <br>even after a short walk.</p><p>Allison still must continue <br>to change the leg bandages <br>every day.</p><p>+++++++</p><p><strong>What Comes Next: Mayo Clinic</strong> </p><p>Going to Mayo Clinic <br>feels like a trippy and surreal,<br>full-circle circus.</p><p>We started <br>this medical mystery at Mayo.</p><p>I was diagnosed with <br>Fanconi Anemia at Mayo.<br><br>And depending what happens next week,<br>a lot might be ending at Mayo.</p><p>We have appointments <br>with the Mayo Clinic oncology team <br>scheduled for next <br>Wednesday and Thursday.</p><p>Our first appointment is <br>Wednesday at 6:00am<br>so we have decided to stay <br>in a hotel for 2 nights.</p><p>Just thinking about the logistics <br>and practicality of getting <br>to the hotel and navigating <br>the labyrinth that is the Mayo Clinic <br>will be a big challenge and, <br>unfortunately, most of <br>the planning and execution <br>falls <br>on Allison's weary shoulders.</p><p>Our most consequential appointment <br>will be with the radiation oncology team<br>(Wednesday afternoon)<br>who will most likely give us <br>a thumbs up or thumbs down <br>on proton radiation therapy.</p><p>Either way, <br>their recommendation<br>will forever alter our future.</p><p>Yesterday, I spent hours <br>trying to update my health history <br>in the Mayo Clinic Patient Portal, <br>which is required for the appointments.</p><p>I cannot fully articulate <br>how cumbersome this is <br>for a person <br>with my medical history.</p><p>And as I reached back in time, <br>I was reminded again <br>that this little family <br>has endured so much.</p><p>So many hard things.<br>So much heaviness.</p><p>The cost <br>physically, financially, and emotionally <br>is so very high.</p><p>And for a moment <br>I let the weight of it all <br>crash, crush, and consume me.</p><p>And, I know for certain, <br>more harrowing moments await.</p><p>So now, once again, <br>I put my body, my life, and my trust <br>into the hands of Mayo Clinic<br>doctors and nurses.</p><p>I have been truly blessed <br>to be able to receive <br>nearly all of my care at <br>M Health Fairview<br>(aka Unversity of Minnesota Medical Center) <br>conveniently located <br>15 mins away <br>from my house.</p><p>And I know people <br>upend their entire lives a<br>nd fly across the country <br>and the world to be seen <br>at the Mayo Clinic, <br>but it's still a huge burden to navigate <br>for anyone with <br>severely compromised health. </p><p>Know that we will carry and <br>hold on tightly to <br>your love and prayers <br>as Allison and I start<br> this next hard and Holy moment.</p><p>We continue to be humbled <br>by the love, generosity, and support <br>of our community. </p><p>From all of you. </p><p>Truly, you are our extended family.</p><p>+++++++</p><p>The image today comes courtesy <br>of my dear, sweet friend, Kelly Holst, <br>who read one of my writings <br>and thoughtfully crafted <br>this beautiful embroidery.</p><p>It speaks to me.</p><p>At this point in my life, <br>I want to fully uncover and <br>reveal my roots with you.</p><p>And just maybe, as those<br>roots get nourished and tended to, <br>indescribable blossoms will emerge, <br>bringing new hope and new life <br>to all who take the time <br>to stop and notice them.</p><p>And with that, I invite you <br>to join me in a prayer you are all <br>always welcome to pray&#8212;</p><p>"Thy will be done."</p><p>Amen. May it be so.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!xGnm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70482a9a-cc39-49bd-8af6-72d89066b070_2830x2538.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!xGnm!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70482a9a-cc39-49bd-8af6-72d89066b070_2830x2538.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!xGnm!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, 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class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Good News/Hard News]]></title><description><![CDATA[+June 20, 2026+]]></description><link>https://seanbreininger.substack.com/p/good-newshard-news</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/good-newshard-news</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sun, 21 Jun 2026 02:22:43 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!tAGL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F58990263-30a5-491e-a8e7-532b2aca6eb3_1920x1080.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Good News/Hard News</p><p>+++++++</p><p><strong>Sullen</strong>: being gloomily angry, silent, and unwilling to be sociable. Someone who is sullen shows their irritation through brooding, quiet resentment, or a general refusal to be pleasant or talkative</p><p><strong>Stupor</strong>: a state of near-unconsciousness, extreme lethargy, or mental numbness. A person in a stupor is barely aware of their surroundings, has dulled senses, and usually only responds to intense physical or emotional stimuli (like pain or loud noises).</p><p><strong>Paradoxical</strong>: describes a situation, statement, or feeling that seems absurd, self-contradictory, or logically impossible, yet reveals a hidden truth or actually happens</p><p>I write this knowing that <br>nothing is final, <br>but I want you to join us <br>for every moment, <br>especially in the grey, unknowable, <br>and unsearchable times we are in.</p><p>+++++++</p><p>Yesterday was full <br>of new news and <br>mixed emotions.</p><p>First, the good. </p><p>My sister, Tara, <br>is at MD Anderson in Houston <br>and just heard that she qualifies <br>for the gold standard cancer treatment <br>for advanced appendiceal cancer <br>that has metastasized <br>into the lining of the stomach<br>(the peritoneum),<br>called HIPEC surgery.</p><p>Getting this type of treatment <br>was Tara's <br>fervent hope and prayer.</p><p>She will have a major surgery <br>at MD Anderson on July 14th <br>and will need to stay in Texas <br>for a month while she recovers. </p><p>Thank you all <br>for your continued prayers <br>and support of her GoFundMe <br>to help make this <br>miraculous moment <br>and procedure possible.</p><p>In other good news,<br>my current recovery,<br>while still a daily struggle, <br>is going as well as could be<br>and I give thanks to all of you <br>for continuing to walk alongside us.</p><p>Unfortunately, yesterday also<br>brought hard news.</p><p>Let's back up a moment.</p><p>On Wednesday, I met with my ENT <br>for a follow-up <br>and to discuss the findings of <br>the FA Tumor Board meeting.</p><p>Here's what we learned:</p><p>1. The cancer <br>that had progressed <br>to my jaw <br>was classified as Stage IV. </p><p>With that diagnosis,<br>I have now <br>"hit for the cycle" <br>in having had <br>every stage of cancer.</p><p>2. When my doctor looked <br>at my mouth on surgery day, <br>she was shocked to see <br>how fast the cancer had progressed <br>in the few weeks <br>since the original surgery. </p><p>She said that without treatment, <br>the cancer would have taken over <br>very rapidly,<br>presumably even much quicker <br>than the 3-9 month estimate <br>they had first predicted.</p><p>3. My doctor stated that <br>the FA Tumor Board concluded <br>that radiation to the jaw <br>would be the next <br>appropriate course of treatment <br>as my pathology results <br>revealed that this was<br>an aggressive cancer <br>with perinural invasion <br>(cancer had moved into my nerves).</p><p>Yesterday, Friday, as we were getting <br>mentally prepared <br>for what that treatment <br>might mean, <br>we received another call from my ENT. </p><p>They informed me that after <br>reviewing my chart <br>there was significant overlap <br>from previous radiation <br>to the same area <br>that makes it virtually impossible <br>to re-radiate the area with the<br>type of radiation machine <br>at the U of MN without <br>significant and permanent damage, <br>possibly death of the bones and tissue,<br>permanent pain, and <br>permanent loss of speech and swallowing. </p><p>This outcome could be the result <br>for any of us in this scenario, <br>not just those with FA.</p><p>Now my only option is to try <br>to get approved by Mayo Clinic <br>for proton radiation <br>which is a more targeted and <br>different type of radiation therapy.</p><p>This, too, may be a long shot <br>to even be considered.</p><p>In 2019, I explored getting <br>proton radiation at the Mayo Clinic<br>and they would not proceed.</p><p>If Mayo says no <br>there is nothing more to be done <br>to try to eradicate <br>any of this aggressive cancer <br>that we know <br>has gone into the nerves<br>and could still be lingering.</p><p>If Mayo says no<br>this could be a quick end.</p><p>There is a strong possibility <br>that the perinural cancer cells <br>could migrate, possibly into<br>the base of the skull,<br>at which point <br>the standard treatment <br>would be...radiation, <br>but probably not for me.</p><p>Potentially loosing <br>the radiation tool <br>in my survival tool kit <br>is a hard pill to swallow.<br><br>But what's hardest to bear is that<br>we don't know what we don't know.</p><p>I feel my life <br>suddenly becoming much smaller <br>and the weight of all this <br>has broken me right open.</p><p>I'm shocked, stunned, and <br>left stammering as, up until now, <br>there's always been another option<br>on the table.</p><p>I've recently lamented on <br>how having options/choices <br>is hard.</p><p>But now knowing <br>I'm potentially <br>out of other options <br>is something<br>I do not love either.</p><p>So we sigh, again.<br>We lament, again.<br>We mourn, again.</p><p>And we pray.</p><p>I know this is a lot <br>to unravel and process, <br>but I truly appreciate you <br>for trying to understand.</p><p>As we wait to hear back <br>from Mayo Clinic, <br>hopefully early next week, <br>I would appreciate <br>your continued<br>care and concern <br>for my family.</p><p>I offer up the opportunity <br>for you to join me in prayers <br>of thanksgiving for Tara<br>and hope that this treatment <br>gives her the best outcome.<br> <br>And, also, I would be grateful <br>for your prayers and healing energies<br>sent our way for acceptance <br>for whatever comes next<br>for Allison and me,<br>and our life together.</p><p>Sharing my news with all of you <br>has been a much needed outlet <br>to feel like I'm still <br>connected and in community <br>with all of the people <br>I love so much.</p><p>And yes, <br>that most certainly includes <em>you</em>.</p><p>Last night,<br>in a sudden, <strong>sullen stupor</strong>, <br>I found myself consulting on old friend.</p><p>And right now, <br>I will now end and rest on his <br><strong>paradoxical</strong> prayer:</p><p>"The Lord gave <br>and the Lord has taken away; <br>blessed be the name of the Lord!"<br>-Job 1:2</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!tAGL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F58990263-30a5-491e-a8e7-532b2aca6eb3_1920x1080.png" 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xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[24th Anniversary: 
The Gift of Water Water]]></title><description><![CDATA[+6/15/2026+]]></description><link>https://seanbreininger.substack.com/p/24th-anniversary-the-gift-of-water</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/24th-anniversary-the-gift-of-water</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Tue, 16 Jun 2026 02:18:20 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Prf_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Take a deep breath, <br>drink water&nbsp;<br>-Jon Batiste</p><p>+++++++</p><p>Today was a big day for us&nbsp;<br>on Hillcrest Avenue.<br>Allison and I are celebrating&nbsp;<br>our 24-Year <br>Wedding Anniversary.<br><br>Also today, I was given&nbsp;<br>the "all clear" to begin&nbsp;<br>drinking clear liquids again.</p><p>These two milestones&nbsp;<br>have melded&nbsp;<br>into one overarching theme.</p><p>Our life together&nbsp;<br>has not been easy,&nbsp;<br>but it has been strengthened&nbsp;<br>bit by bit,&nbsp;<br>moment by moment&nbsp;<br>by the little things.</p><p>And it is in those little things&nbsp;<br>that we have built up&nbsp;<br>such a strong foundation of mutual caring, trust, <br>and respect.</p><p>Allison is loving me&nbsp;<br>through the little things.</p><p>Celebrating&nbsp;<br>my first glass of ice water.</p><p>Ordering Popsicles.</p><p>Dressing&nbsp;<br>my wounds and incisions.</p><p>Preparing&nbsp;<br>my meds.</p><p>These simple acts of Allison's constant love and grace, compounded year after year,&nbsp;<br>have built our relationship&nbsp;<br>much more so&nbsp;<br>than any big gesture&nbsp;<br>that some seek as necessary&nbsp;<br>for a "good" marriage.</p><p>And it has me wondering:</p><p>What if we always treated&nbsp;<br>the little things&nbsp;<br>as&nbsp;<br>the big things?<br><br>What if we were wowed&nbsp;<br>by the simple and mundane?</p><p>How would that shift&nbsp;<br>our priorities and perspective?</p><p>As I take another sip&nbsp;</p><p>of cold ice water,&nbsp;</p><p>I treat it like it is&nbsp;</p><p>the greatest gift&nbsp;</p><p>I have been given.<br></p><p>And, in reality, it is true.<br></p><p>As I seek out the little things&nbsp;<br>in my recovery,&nbsp;<br>in my life and&nbsp;<br>in my marriage,&nbsp;<br>my world suddenly becomes&nbsp;<br>full of wonders and miracles.<br><br>This simple <br>yet profound shift&nbsp;<br>is my hope for you, too.</p><p>It is with this <br>refreshed outlook&nbsp;<br>on life and love that I'm&nbsp;<br>humbled and grateful to say:</p><p>Thanks be to God for water!<br>Thanks be to God for Allison!</p><p>Thanks be to God&nbsp;<br>that I am still awed&nbsp;<br>by the simplicity&nbsp;<br>and the smallness&nbsp;<br>of every good thing!</p><p>May you know&nbsp;<br>the pure joy of water<br>and the small gifts of life&nbsp;<br>that are *always*&nbsp;<br>waiting to be discovered&nbsp;<br>in every moment.</p><p>Grace and Peace, beloveds.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!Prf_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!Prf_!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!Prf_!, 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!Prf_!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!Prf_!, /__u/seanbreininger.substack.com/w_1272, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!Prf_!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9569b2ad-1659-4a11-9934-9c5b04b6fb15_1536x2048.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p>]]></content:encoded></item><item><title><![CDATA[Two Week Assessment ]]></title><description><![CDATA[+June 12, 2026+]]></description><link>https://seanbreininger.substack.com/p/two-week-assessment</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/two-week-assessment</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Fri, 12 Jun 2026 16:39:16 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Dysb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1afeeae4-83c7-40b5-9b43-f6d98c2821fe_900x600.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>&#8220;Water water everywhere<br>but not a drop to drink.&#8221;&nbsp;<br>- Samuel Taylor Coleridge&nbsp;<br><strong><br>Envisioning</strong>: picturing or visualizing something in your mind, especially something you believe is a likely or desirable possibility in the future. It involves actively anticipating, conceiving, or foreseeing what something will or could look like.</p><p>+++++++</p><p>Yesterday marked two weeks <br>since my mandibulectomy&nbsp;<br>so I thought I'd give you&nbsp;<br>a blow by blow&nbsp;<br>of where we are at.</p><p>The surgery itself <br>was a success.</p><p>From a medical standpoint <br>everything&nbsp;<br>went according to plan.</p><p>We honestly thought&nbsp;<br>I might still be hospitalized&nbsp;<br>at this point,&nbsp;<br>so the fact that&nbsp;<br>I've been home for a while&nbsp;<br>is welcome news.</p><p>My biggest concern&nbsp;<br>before the surgery&nbsp;<br>was the post-op pain,&nbsp;<br>but I am grateful to say that,&nbsp;<br>for the most part,&nbsp;<br>it has been managed.&nbsp;</p><p>My kidneys&nbsp;<br>are also holding steady&nbsp;<br>and there have been&nbsp;<br>no signs of fever or infection.<br><br>I am so thankful&nbsp;<br>that our biggest concerns&nbsp;<br>did not come to pass.</p><p>At least not yet.</p><p>There is still much swelling&nbsp;<br>in my neck&nbsp;<br>which also includes&nbsp;<br>a nearly ear to ear incision,&nbsp;<br>but that, too, is healing well.</p><p>I have a knee to ankle<br>incision down my right leg&nbsp;<br>that has been held together&nbsp;<br>by 30 staples,&nbsp;<br>where they took a major artery <br>and the fibula&nbsp;to replace <br>my missing jawbone.<br><br>My mouth&nbsp;<br>feels garbled with marbles&nbsp;<br>as I stumble and mumble&nbsp;<br>over my words<br>with a mouth full of tissue&nbsp;<br>that was never meant to fit&nbsp;<br>into that small space.<br><br>I am concerned that this has<br>permanently&nbsp;<br>altered my speech,&nbsp;<br>but only time will tell&nbsp;<br>how that plays out.</p><p>It will be at least 18 days&nbsp;<br>before I will be able&nbsp;<br>to put a drop of water&nbsp;<br>in my mouth.</p><p>All I can think about&nbsp;<br>is taking that first sip&nbsp;<br>of ice cold water,&nbsp;<br>feeling it&nbsp;<br>run down my throat,&nbsp;<br>and <strong>envisioning</strong> how glorious&nbsp;<br>that moment will be.</p><p>Until then, it torments me&nbsp;<br>not to allow&nbsp;<br>for this basic necessity.</p><p>We now enter into <br>a moment where there are <br>more&nbsp;medical puzzle pieces&nbsp;<br>still left to figure out.</p><p>1. Upon the reading&nbsp;<br>of the pathology report,&nbsp;<br>it showed that cancer&nbsp;<br>had in fact moved <br>into the jaw, <br>meaning that if I did nothing&nbsp;<br>the cancer <br>would have continued to spread quickly <br>and become even more problematic&nbsp;<br>in short order.</p><p>2. The pathology report&nbsp;<br>also noted <br>perineural invasion, <br>meaning that the cancer had/has also <br>moved into my nerves.&nbsp;</p><p>And from the nerves,&nbsp;<br>the cancer can spread anywhere.</p><p>Because of this,&nbsp;<br>the standard of care&nbsp;<br>would be to follow the surgery <br>with radiation.</p><p>This presents a problem.<br><br>I have already had&nbsp;<br>total body radiation&nbsp;<br>and radiation focused&nbsp;<br>on the other side of my neck.</p><p>Combine that&nbsp;<br>with my Fanconi Anemia&nbsp;<br>and predisposition&nbsp;<br>and extra sensitivity <br>to radiation on a basic level&nbsp;<br>and adding even more radiation<br>to this body&nbsp;<br>becomes much more risky.</p><p>Next week, FA experts&nbsp;<br>from across the country&nbsp;<br>will look at my case and&nbsp;<br>assess my ability&nbsp;<br>to have this additional radiation.</p><p>Depending on what they say&nbsp;<br>I might be back&nbsp;<br>in a similar predicament&nbsp;<br>I was in before the surgery.</p><p>Will I be forced to make <br>yet another <br>life extending/shortening treatment choice?</p><p>I will wait until next week&nbsp;<br>to figure that out.</p><p>In the meantime,&nbsp;<br>I'll give thanks&nbsp;<br>for the moments I do have.</p><p>I'll give thanks for Allison&nbsp;<br>and her life-saving <br>love and care.</p><p>I'll give thanks for Maya&nbsp;<br>and the joy she brings&nbsp;<br>to my world.</p><p>And I'll give thanks <br>for all of you.</p><p>For the&nbsp;notes/texts/cards&nbsp;<br>of encouragement,&nbsp;<br>for your generosity&nbsp;<br>to us personally<br>and our efforts&nbsp;<br>with The Negative Space,&nbsp;<br>for the love and generosity&nbsp;<br>shown to my sister, Tara,&nbsp;<br>for the showers of flowers&nbsp;<br>and for all of the kind&nbsp;<br>and gentle ways&nbsp;<br>you continue to lift us up&nbsp;<br>in troubling times.</p><p>The myriad ways you <br>have shown up for us<br>have all been a literal lifeline,&nbsp;<br>helping us to see that,&nbsp;<br>even in these hard moments,<br>beauty and Love&nbsp;<br>are still at work in this world.</p><p>As we wait <br>for what comes next,&nbsp;<br>I will continue to dream about&nbsp;that ice cold <br>glass of water&nbsp;<br>and what a gift it will be&nbsp;<br>when I can finally&nbsp;<br>take a sip and say,&nbsp;<br>"Thanks be to God for water!"</p><p>Today, it is enough <br>for me to say,<br>"Thanks be to God for you!"</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!Dysb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F1afeeae4-83c7-40b5-9b43-f6d98c2821fe_900x600.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!Dysb!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, 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4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Getting Carried Away ]]></title><description><![CDATA[+May 28, 2026+]]></description><link>https://seanbreininger.substack.com/p/getting-carried-away</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/getting-carried-away</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sat, 30 May 2026 00:05:59 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!nyGl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F897e17e9-9dcf-40e3-a08e-1c6a8b4b7f32_3264x2448.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>+++++++</p><p>[18] I assure you, most solemnly I tell you, when you were young you girded yourself [put on your own belt or girdle] and you walked about wherever you pleased to go. But when you grow old you will stretch out your hands, and someone else will put a girdle around you and carry you where you do not wish to go. </p><p>-John 21:18</p><p>+++++++</p><p>The truth is going to set you free Or so the sages tell</p><p>The truth is going to set you free But first it hurts like hell</p><p>- Craig Minowa</p><p>+++++++</p><p>We can ignore even pleasure. But pain insists upon being attended to. God whispers to us in our pleasures, speaks in our conscience, but shouts in our pains: it is his megaphone to rouse a deaf world. </p><p>-C.S. Lewis <br>The Problem of Pain </p><p>Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say &#8220;My tooth is aching&#8221; than to say &#8220;My heart is broken. </p><p>-C.S. Lewis</p><p>The Problem of Pain</p><p>+++++++</p><p>My friends, </p><p>Today I am pondering <br>these words <br>from the Wisdom <br>of past and present <br>and the implications <br>they have for my life.</p><p>My mind is carrying <br>an unbearable weight <br>and is solely focused <br>on my upcoming <br>jaw cancer surgery <br>in a few, short hours.</p><p>Yesterday I saw my oral surgeon for one last peek <br>in my mouth <br>and she could see that my mouth was again <br>showing signs of cancer.</p><p>Allison and I <br>took strange comfort <br>in that by seeing this, <br>it was a good idea <br>to have the surgery.</p><p>But now, I must admit, <br>I have deep concern <br>about the pain and suffering <br>I am consciously asking surgeons to inflict upon me.</p><p>It's not fair <br>that Allison and Maya<br>also get pulled under <br>by the weight of bearing witness to this suffering <br>all while being thrust <br>into another intense caregiving experience <br>in the wake <br>of such a traumatic event.</p><p>In this moment, <br>we are being carried <br>where we *most certainly* <br>do not want to go.</p><p>I am being asked to submit <br>to something that will undoubtedly bewilder my body and hurt my heart.</p><p>When I was younger, <br>I did have <br>a pretty, carefree life.</p><p>I could go where I wanted.<br>I could do what I wanted.</p><p>I had the privilege of being oblivious and ignorant <br>to most problems <br>effecting our world<br>as I spent my days<br>within the cozy confines <br>of my little life.</p><p>But I am older now.</p><p>And, in many ways, <br>I am much, much older.</p><p>I have been <br>grizzled and wizened <br>by a body that keeps breaking <br>as it limps and stumbles along <br>to the next <br>prickly, <br>precarious, and <br>painful procedure.</p><p>And I ask myself: </p><p>"Is this it? <br>Is this the road I will travel on until I reach <br>my literal dead end?"</p><p>The Bible verse I shared says <br>I'm being "carried" to where <br>I do not wish to go.</p><p>And I wonder: <br>who is carrying me?</p><p>Is it my disease or my God?</p><p>And it hits me that the answer to that question is both/and, and more.</p><p>I'm carried by Christ and Cancer-- My Light and My Affliction. </p><p>I am also carried by <br>my fear, <br>my doubt, <br>my heartache,<br>my past, <br>my present, and <br>my future...<br>...by things <br>seen and unseen.</p><p>And I am being carried </p><p>by your <br>love, <br>compassion, and <br>support.</p><p>My friends, <br>God never told me, <br>"I won't give you things <br>that you cannot bear."</p><p>And, in fact, those unbearable moments <br>are something <br>to be experienced by all of us.</p><p>God carries me straight into the fire to be burned and scarred--again and again.</p><p>Why?</p><p>This may sound like hopelessness to you,<br>but it is something <br>more than that.</p><p>By being burned <br>again and again <br>I also see God <br>with a deeper and purer clarity.</p><p>But why must I endure <br>this suffering?</p><p>Because that is also <br>where Love lives.</p><p>It's comforting <br>when we find Love in the beauty surrounding us.</p><p>But when we find out that Love has actually been living <br>in the fiery furnace also, <br>it shifts our reality.</p><p>As Christ descended into Hell,<br>so has Christ also descended <br>into my personal Hell.</p><p>Love is forged in fire <br>more so than in freedom.</p><p>Suffering shows us a side of Love that we would never see <br>without that suffering.</p><p>When I am being burned <br>and consumed by cancer <br>I realize that I am also <br>being carried by Christ.</p><p>Because Christ was already there flickering in the flames <br>of my pain.</p><p>It has been my experience <br>that Christ is more fully revealed and present <br>in my suffering <br>than in my little life of leisure.</p><p>And thank God for that.</p><p>Suffering has made me <br>turn inward to see <br>that The Indwelling Spirit <br>of my innermost self <br>knows well my suffering.</p><p>This is hard to say this <br>because I don't <br>want any of us to suffer.</p><p>But know that through the suffering and tears of your life Love is already there, <br>absorbing the hurt <br>and reflecting back to you </p><p>God's own <br>suffering and tears.<br>For you and for me.</p><p>Suffering is inevitable.<br>But so is Love.</p><p>And when you are carried <br>to where you don't want to go, know that your suffering self might also be <br>carrying you <br>into a whole new relationship with God, <br>with Love itself.</p><p>And know this: I, too, <br>will be waiting there <br>to share your tears, <br>and feel your fears.</p><p>The next time you are carried to a place <br>you *don't* want to go, <br>hold out hope that within <br>the mystery and uncertainty </p><p>of it all </p><p>it just might be exactly where you *need* to go.</p><p>+++++++</p><p>Friends,</p><p>I cannot fully express the<br>gratitude I have felt over these past few weeks.</p><p>Your kindness, caring, and generosity is all the proof I need to know that God, that Love, continues to carry us through the beautiful/terrible things of this one awe-filled life.</p><p>It is my fervent prayer that you know and experience this Love </p><p>for yourself.</p><p>Thank you for showing up.</p><p>Thank you for being my people.</p><p>I love you all.</p><p>+++++++</p><p>*A word about suffering. Suffering is subjective. I do not expect my experiences of suffering to be the reality of everyone's suffering and I would never assume someone's suffering will always lead them to new understandings about their relationship with God, Love, and that suffering in and of itself. Suffering can also be just what it is and nothing more.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!nyGl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F897e17e9-9dcf-40e3-a08e-1c6a8b4b7f32_3264x2448.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!nyGl!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F897e17e9-9dcf-40e3-a08e-1c6a8b4b7f32_3264x2448.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!nyGl!, /__u/seanbreininger.substack.com/w_848, 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4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p>]]></content:encoded></item><item><title><![CDATA[The Decision]]></title><description><![CDATA[+May 4, 2026+]]></description><link>https://seanbreininger.substack.com/p/the-decision</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/the-decision</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Mon, 04 May 2026 20:58:17 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!mlUF!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F859a46e8-8961-4136-8f2e-3d28968c70fa_1200x1200.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Decision</p><p>+++++++</p><p>&#8217;Twasn&#8217;t me, &#8216;twas the Lord! <br>I always told Him,<br>&#8216;I trust you.<br>I don&#8217;t know where to go<br>or what to do,<br>but I expect You to lead me,&#8217;<br>an&#8217; He always did.</p><p>I prayed to God <br>to make me strong <br>and able to fight,<br>and that&#8217;s what <br>I&#8217;ve always prayed for <br>ever since.&#8221;</p><p>-Harriet Tubman</p><p><strong>Ramifications</strong>: the consequences of an action or event, <br>especially when complex or unwelcome<br><br><strong>Decision</strong>: the act, process, or result of <br>making a firm choice, conclusion, or judgment <br>after considering various alternatives or facts</p><p>+++++++</p><p>My dear friends,</p><p>I have spent the last several days <br>listening.</p><p>Listening to the wisdom<br>of so many<br>who have personally experienced <br>much life, suffering, and death.</p><p>Those who have held out hope<br>in the midst of complete despair.</p><p>Those who have saved lives<br>of the sick and enslaved.</p><p>Those who can always see<br>a path forward<br>when the road becomes covered<br>in chaos and cancers.</p><p>I&#8217;ve listened to:<br>My Doctors<br>My Nurses<br>My Pastor<br>My Teachers<br>My Family<br>My Friends<br>My Healers<br>My Death Doula<br>My God.</p><p>&#8220;My God!&#8221;</p><p>And so many of you.</p><p>I have listened to it all.</p><p>I have spent many moments<br>in discernment.</p><p>And now, I shall speak.</p><p>Allison and I<br>have made the <strong>decision</strong><br>to go ahead with the surgery.</p><p>At the end of the day,<br>there was truly<br>no right or wrong choice.</p><p>But, also,<br>there was no &#8220;good&#8221; option.</p><p>And that&#8217;s why<br>it has been so difficult.</p><p>There is still<br>an unsettling, uneasy feeling <br>about going forward<br>with this complex surgery<br>and the <strong>ramifications<br></strong>that come with it.</p><p>But after<br>the searching<br>and<br>the questioning<br>and<br>the crying<br>and<br>the pleading<br>and<br>the praying,<br>I was reminded<br>again and again:</p><p>This *is* a Love Story.</p><p>And if the last few weeks<br>have shown me anything,<br>it has shown that I am loved<br>beyond my wildest imagination.</p><p>And, for now, I want to stay<br>in that ongoing flow of Love,<br>hidden with Christ in God,<br>with my feeble feet firmly planted<br>in this weary, broken world.</p><p>In this moment<br>I choose to be here,<br>with all of you,<br>my beloved friends and family.</p><p>But here&#8217;s the reality<br>of making this decision.</p><p>There are no guarantees.</p><p>I will spend the next few weeks <br>wondering if this was<br>truly<br>the best decision.</p><p>There&#8217;s a 50/50 chance<br>my kidneys will fail me<br>during the surgery.</p><p>There&#8217;s a good chance<br>I could become septic.</p><p>There&#8217;s a high probability<br>that I may never fully recover<br>to the way that I am<br>in this moment:<br>physically,<br>mentally, and<br>emotionally.</p><p>There&#8217;s an absolute certainty<br>I will be in a position<br>like this again<br>and forced to make<br>another impossible choice.</p><p>Also, by choosing<br>to move forward,<br>we will need<br>to lean heavily on you.</p><p>All of you.</p><p>You are the gamble <br>and the price for more of my life.</p><p>And so, yet again,</p><p>I stretch out my empty hands<br>and ask you to fill them<br>with your love and presence.</p><p>Will you show up for us,<br>once more?</p><p>Will you help Allison<br>navigate another<br>harrowing and overwhelming <br>caregiving moment?</p><p>Will you watch over Maya<br>as she witnesses her dad<br>going through<br>another painful procedure?</p><p>Will you do what you can<br>to ease their burdens?</p><p>Throughout my life,<br>I have thanked God<br>that I have been loved well.</p><p>And this moment is no exception.</p><p>From my point of view,<br>I have been able to witness<br>the caritas, the charity<br>and the abundance,<br>you so freely share with us.</p><p>And it comes from everywhere.</p><p>From places and people<br>you know well<br>and from places and people<br>you would never expect.</p><p>While our world swirls<br>in a seemingly sick,<br>and sad stew,<br>something sacred<br>is also happening.</p><p>Love is springing up all over.</p><p>And, I am convinced,<br>that at the end of the day,<br>Love will gather us all.</p><p>And so I say &#8220;yes&#8221;<br>to the surgery and<br>to the pain and<br>to the suffering<br>just so I can be here<br>long enough<br>to see the looks<br>on your faces when<br>Light, Peace, Grace, and Hope<br>is poured out on all of you.</p><p>Simply because you are you.</p><p>And that, my friends,<br>makes life worth living for me,<br>for right now.</p><p>Thank you for your unwavering support <br>throughout my life,<br>and especially<br>in the very difficult,<br>yet Holy,<br>moments to come.</p><p>May Love and Light<br>shine down on you all<br>my friends<br>and<br>my fellow travellers.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!mlUF!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F859a46e8-8961-4136-8f2e-3d28968c70fa_1200x1200.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source 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/__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F859a46e8-8961-4136-8f2e-3d28968c70fa_1200x1200.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!mlUF!, /__u/seanbreininger.substack.com/w_1456, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_auto, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F859a46e8-8961-4136-8f2e-3d28968c70fa_1200x1200.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Open Door]]></title><description><![CDATA[+April 26, 2026+]]></description><link>https://seanbreininger.substack.com/p/open-door</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/open-door</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Sun, 26 Apr 2026 22:42:08 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!cp40!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9942196c-9da9-4c12-a5f4-71cab72992c4_1200x1200.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>...for so long as one door is open, <br>we are not in prison.<br>-G.K. Chesterton</p><p><strong>Definitively:</strong> in a final, conclusive, <br>or authoritative manner <br>that settles a matter <br>without doubt <br>or need for further change.</p><p>+++++++</p><p>My dear friends,</p><p>Allison and I are living in <br>one of our hardest moments.</p><p>We feel trapped in that <br>we have to make <br>an impossible decision.</p><p>After several appointments<br>with doctors<br>from my ENT,<br>oral surgery,<br>palliative care, and<br>nephrology team,<br>we&#8217;ve been inundated<br>with information<br>about what it would look like<br>to go through<br>this next major oral surgery.</p><p>We also were told<br>what to expect<br>if we do not go through with it.</p><p>Both paths are mind boggling.</p><p>Both paths have<br>very real, very hard<br>consequences.</p><p>We are exhausted <br>from the constant onslaught<br>of cascading cancers and <br>multiple medical procedures.</p><p>And choosing to go into<br>another 13-hour surgery<br>has made me pause<br>to discern if this is something<br>I&#8217;m willing to do.</p><p>If I do not have the surgery, <br>according to my doctors,<br>I would have months, not years,<br>left to live.</p><p>Hearing that pronouncement <br>leaves me stone-cold sober.</p><p>In doing the surgery, there is<br>no guarantee<br>that I&#8217;ll bounce back<br>or<br>that another cancer<br>wouldn&#8217;t<br>come take its place<br>while I&#8217;m still healing.</p><p>My doctors have been excellent<br>in letting us know<br>they would support<br>whichever choice I make.</p><p>And so today, I lay this<br>before your feet feeling <br>exhausted, shocked, and sad.</p><p>Either path I choose<br>is bound to come with<br>much pain and suffering.</p><p>Either path will wreck me<br>and reek havoc<br>on my heart/mind/body.</p><p>Either path is filled with trauma.</p><p>And, I question,<br>&#8221;Is this finally all too much?&#8221;</p><p>Is this the moment I say,<br>&#8220;No more.&#8221;<br>or<br>&#8220;Know more.&#8221;</p><p>I zoom out to look around<br>at our weary world<br>and see the chaos,<br>harm, and destruction<br>taking place<br>by a few angry men<br>and I think,<br>&#8220;will it just continue<br>to be more of this?&#8221;</p><p>But then I zoom in <br>to look at Allison and Maya<br>and our little family,<br>whom I love fiercely,<br>and I think,<br>&#8220;what is fair to them?&#8221;</p><p>&#8220;How does my decision<br>impact their lives...&#8221;</p><p>+++++++</p><p>What do we do<br>when there are<br>no good options?</p><p>When there&#8217;s no easy way out?</p><p>When every decision<br>comes with a cost<br>and a price to pay?</p><p>Some turn to<br>prayer and pleading.</p><p>Some turn to<br>family and friends.</p><p>Some turn off completely.</p><p>I go into this decision <br>already fractured and fragmented <br>from fifteen years fraught with<br>medical mishaps and mysteries.</p><p>What&#8217;s the loving choice?<br>What&#8217;s the kind choice?</p><p>In all of this,<br>one thing remains obvious:<br>I <em>do</em> have a choice.</p><p>And that may be<br>the most unbearable thing<br>I know.</p><p>Choice.</p><p>Choice leaves the door<br>cracked open for me,<br>should I want<br>to walk through it.</p><p>Choice puts me<br>in the driver&#8217;s seat of decisions, <br>but it leaves me no road map<br>to show me where I&#8217;m going.</p><p>And maybe that means<br>I&#8217;m not<br>confined to this life&#8217;s<br>permanent prison<br>just yet.</p><p>But hope is quickly<br>fleeting and fraying<br>making it hard to continue<br>the game that I&#8217;m playing.</p><p>Whatever the path I choose,<br>I will do so<br>in a frail and brittle body.</p><p>Choosing to go ahead<br>with the surgery will,<br>almost certainly,<br>bring me right back<br>to this predicament<br>in weeks? Months?</p><p>Choosing to not have surgery <br>solidifies my spot<br>on this sinking ship<br>that is going to<br>steadily and <strong>definitively</strong> sink<br>to the bottom<br>of the deepest depths.</p><p>It now feels like<br>one minute to midnight.</p><p>One minute before<br>the cuckoo clock crows,<br>crying out to me:<br>&#8220;Tic, toc, Sean.<br>Life moves on--<br>with or without you.&#8221;</p><p>+++++++</p><p>All I can ask is that you<br>stay with me<br>here.</p><p>Sit with me in the midst of<br>terrible options.</p><p>Pray for me<br>that I may discern<br>what Love is asking me to do<br>in this<br>harrowing,<br>horrific,<br>Holy<br>moment.</p><p>Whatever comes next,<br>thank you for trying<br>to help hold<br>the ungraspable sands<br>as they continue to slip through<br>my trembling hands.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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y2="14"></line></svg></button></div></div></div></a></figure></div><p>.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://seanbreininger.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Dying to K(no)w by Sean Breininger is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Arrows ]]></title><description><![CDATA[Hitting the Mark]]></description><link>https://seanbreininger.substack.com/p/arrows</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/arrows</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Thu, 16 Apr 2026 17:58:38 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!tNzb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11d51c04-2f97-44c4-b55b-58f7e55f2028_1200x1200.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>[2] For Your arrows have sunk into me and stick fast, and Your hand has come down upon me and pressed me sorely.</p><p>[3] There is no soundness in my flesh because of Your indignation; neither is there any health or rest in my bones because of my sin.</p><p>[6] I am bent and bowed down greatly; I go about mourning all the day long.</p><p>[8] I am faint and sorely bruised [deadly cold and quite worn out]; I groan by reason of the disquiet and moaning of my heart.</p><p>[9] Lord, all my desire is before You; and my sighing is not hidden from You.</p><p>[10] My heart throbs, my strength fails me; as for the light of my eyes, it also is gone from me.</p><p>[17] For I am ready to halt and fall; my pain and sorrow are continually before me.</p><p>-Psalm 38:2-3, 6, 8-10, 17</p><p>+++++++</p><p>Friends,<br>I come before you today<br>from my couch.</p><p>My body is sore,<br>my head hurts,<br>my mouth quivers,<br>there&#8217;s gauze stitched<br>into my bloody flesh,<br>and I&#8217;m exhausted.</p><p>Yet, there is more news<br>that I must share.</p><p>As the doctor was<br>pulling out my teeth,<br>he found cancer cells <br>attached to the tooth <br>and into the cavity <br>where my tooth was.</p><p>Bottom line: He believes<br>there is more cancer in there.</p><p>&#8220;Your arrows have sunk into me <br>and stick fast&#8221;</p><p>At this point, the standard of care<br>is to remove a whole section<br>of the right side of my jaw<br>and undergo radiation.</p><p>But doctor&#8217;s concern is this: <br>because<br>I have already taken<br>so many body blows,<br>can I endure another grueling one?</p><p>And how long before <br>another cancer takes hold?</p><p>Going into this surgery,<br>this scenario was not<br>on our radar.</p><p>And we&#8217;re left<br>with no good options.</p><p>Do I attempt a major<br>13-hour surgery<br>to take out my jaw bone<br>and replace it<br>with bone from my leg?</p><p>Can I <em>even have</em> any more <br>radiation in this body?</p><p>If I do nothing, what happens?</p><p>There&#8217;s nothing to sugarcoat<br>the harsh reality<br>laid out before me.</p><p>There&#8217;s no easy answer<br>or gentle remedy<br>to the cancer<br>eating away at me <br>day after day.</p><p>My body, my safe space,<br>is anything but.</p><p>And so I moan and groan<br>all the day long.</p><p>I wonder how a body <br>can go through this much<br>and still hold out<br>for hope,<br>for help,<br>for healing.</p><p>For one more miracle <br>I haven&#8217;t considered yet.</p><p>Maybe that is<br>just wishful thinking.</p><p>Or, maybe, t<br>his is where my life <br>was always meant to go?</p><p>Either way, I&#8217;m again<br>given over to<br>running the gauntlet<br>of cancer&#8217;s crucible.</p><p>&#8220;Thy will be done.&#8221;</p><p>This Eastertide has quickly<br>turned into<br>another Lenten season.</p><p>So while I feebly attempt<br>to dodge the barrage of arrows <br>falling all around me,<br>I cry out to you and You.</p><p>Must I continue to drink<br>from this bloody cup<br>of communion?</p><p>Must You continue<br>to make me drink it?</p><p>I&#8217;m ever learning that<br>living fully in Love&#8217;s life<br>requires surrender<br>and, sometimes, deeper pain.</p><p>As I walk further along<br>this well-worn, winding path,<br>I pray you&#8217;ll continue<br>to be by my side.</p><p>Thank you for giving me<br>the space to be myself.</p><p>Thank you for giving me<br>the space to show up<br>exactly as I am<br>and have that be enough.</p><p>My heart goes out to all<br>who have to hear hard news<br>and then still find a way <br>to move onward.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!tNzb!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11d51c04-2f97-44c4-b55b-58f7e55f2028_1200x1200.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!tNzb!, /__u/seanbreininger.substack.com/w_424, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, /__u/seanbreininger.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11d51c04-2f97-44c4-b55b-58f7e55f2028_1200x1200.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!tNzb!, /__u/seanbreininger.substack.com/w_848, /__u/seanbreininger.substack.com/c_limit, /__u/seanbreininger.substack.com/f_webp, /__u/seanbreininger.substack.com/q_auto:good, 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xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>.</p>]]></content:encoded></item><item><title><![CDATA[Signs of Life?]]></title><description><![CDATA[The Days After]]></description><link>https://seanbreininger.substack.com/p/signs-of-life</link><guid isPermaLink="false">https://seanbreininger.substack.com/p/signs-of-life</guid><dc:creator><![CDATA[Dying to K(no)w]]></dc:creator><pubDate>Wed, 08 Apr 2026 15:50:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!PhoY!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff554e8ef-be86-4a8c-abcc-8d70e8fd4e88_1600x896.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>+Eastertide 2026+</p><p>+++++++</p><p>[1] I THEREFORE, the prisoner for the Lord, appeal to and beg you to walk (lead a life) worthy of the [divine] calling to which you have been called [with behavior that is a credit to the summons to God&#8217;s service,</p><p>[2] Living as becomes you] with complete lowliness of mind (humility) and meekness (unselfishness, gentleness, mildness), with patience, bearing with one another and making allowances because you love one another.<br>Ephesians 4:1-2</p><p>+++++++</p><p>I always wonder<br>in the days after Easter,<br>after a day<br>of pomp and celebration<br>that affirms and rejoices in<br>the Resurrection,<br>what&#8217;s changed?</p><p>Are we any different today?</p><p>Was it just about great hymns, <br>hearing another uplifting message,<br>and sharing a delicious meal<br>with family and friends?</p><p>Now don&#8217;t get me wrong,<br>those are all beautiful, beneficial, <br>and important pursuits.</p><p>But, I wonder,<br>does that make us<br>New Wine in New Wineskins?</p><p>Or are we<br>the same old, same old?<br><br>Why do we go back <br>and pick up our battle flags<br>to prove once again<br>that we have the sole truth<br>and are living the right way,<br>while believing everyone else is wrong<br>and therefore not worth our time?</p><p>If Christ&#8217;s Resurrection is truly <br>an uprooting, earth-shattering event,<br>why do we immediately <br>go back to our daily lives and routines?</p><p>How have we changed<br>in the days after Easter?</p><p>Or are we exactly the same?</p><p>Same problems, same sin,<br>same self-righteousness,<br>same bitterness?</p><p>You see, if the Resurrection<br>is real, true, and necessary<br>it should change everything.</p><p>The way we talk,<br>they way we think,<br>the way we serve others,<br>and the way we love<br>the world and ourselves.</p><p>So, as some of us are still in the glow<br>from Easter Sunday,<br>how do we truly become<br>the children of the Resurrection?</p><p>How do we honestly and humbly <br>digest and share<br>Christ&#8217;s dying and rising<br>from the dead,<br>and the promise we are<br>Saved by Grace,<br>with a world that is done <br>with platitudes, <br>in those who <br>have been burned <br>by the Church, <br>and those who are truly<br>Hurting,<br>Sick,<br>Lost,<br>Hopeless,<br>Broken,<br>Abandoned, and<br>Confused?</p><p>How do we lay down our lives<br>for the people we know<br>who need our help</p><p>AND</p><p>for the people<br>we have yet to meet?</p><p>I, too, struggle<br>with this clear call to die<br>to ourselves and<br>to live for others.</p><p>As we again <br>cling to our creature comforts,<br>how can we,<br>especially those of us<br>who have faith<br>in the Resurrection&#8217;s promise, <br>reimagine and repackage<br>our thoughts, words, and deeds<br>to present them as gifts<br>to all those we think<br>deserve <em>and don&#8217;t deserve</em><br>our healing, support,<br>love and charity:</p><p>The Stranger.<br>The Immigrant.<br>The Poor.<br>The Dying.<br>The Grieving.<br>The Iranian.<br>The Haitian.<br>The Hopeless.<br>The Helpless.<br>The Elephant.<br>The Donkey.</p><p>And here&#8217;s a suggestion.</p><p>If we are still clinging to<br>our same sources<br>to guide us in<br>who to include and exclude<br>and who to love or hate,<br>and they aren&#8217;t guiding us<br>to help The Least of These,<br>or showing us how and why<br>to engage with the<br>true suffering of this world,<br>let&#8217;s change the channel<br>and punt our podcasts.</p><p>For this Holy Mystery<br>and Holy Work<br>demands our undivided attention.</p><p>And let me be clear,<br>that doesn&#8217;t mean<br>to stop engaging in<br>public debate and protest<br>or going against your conscience.</p><p>But is it possible that if we&#8217;re<br>intentional and tuned in to<br><em>helping, loving, and serving,</em><br>especially those who don<em>&#8217;t<br>look, think, act or believe</em><br>like we do,<br>won&#8217;t we set ourselves up<br>for living more fully<br>in the Resurrected life?<br><br>Can you see <br>how this might be true?<br><br>If I told you the people <br>who have helped, loved, and served me,<br>the people who have brought <br>my body back to life<br>with love and purpose,<br>it would surprise you<br>and it would challenge your<br>understanding of who <br>is serving out<br>Christ&#8217;s calling in this<br>troubled world.</p><p>In this week after Easter<br>let&#8217;s continue soaking up<br>the hope that we have<br>and use it to create <br>a new community with others.</p><p>A community<br>where the words:<br><br>&#8220;Alleluia! Christ is risen!<br>Christ is risen indeed! Alleluia!&#8221;<br><br>truly mean something<br>and let those words reignite<br>the passion of Easter<br>and Easter&#8217;s life-giving hope<br><em>for all of us.</em></p><p>Let&#8217;s <em>live</em> like the Easter people<br>we <em>claim</em> to be.</p><p>Let&#8217;s <em>love</em> like the Easter people <br>we are <em>called</em> to be.</p><p>Blessings to you<br>in this Eastertide.</p><p>Blessings to you <br>as you offer up yourself <br>for your neighbor&#8212;<br>and for the one who you think<br>is all wrong.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!PhoY!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff554e8ef-be86-4a8c-abcc-8d70e8fd4e88_1600x896.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!PhoY!, 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